| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
730 |
595 |
$42K |
| 92015 |
Determination of refractive state |
1,570 |
1,291 |
$33K |
| V2020 |
Frames, purchases |
927 |
790 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
858 |
670 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
179 |
134 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
469 |
408 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
59 |
46 |
$2K |
| 92341 |
|
30 |
25 |
$977.50 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
37 |
26 |
$614.22 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
46 |
32 |
$400.20 |