| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
677 |
658 |
$61K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
822 |
776 |
$54K |
| 92015 |
Determination of refractive state |
2,167 |
2,045 |
$24K |
| V2020 |
Frames, purchases |
277 |
263 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
197 |
189 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
240 |
227 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
101 |
92 |
$2K |
| V2760 |
Scratch resistant coating, per lens |
25 |
25 |
$50.00 |