| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
465 |
458 |
$37K |
| 92015 |
Determination of refractive state |
2,182 |
2,152 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
135 |
133 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
396 |
376 |
$8K |
| V2020 |
Frames, purchases |
158 |
141 |
$4K |
| 92370 |
|
84 |
83 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
34 |
12 |
$390.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
67 |
57 |
$290.27 |