| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,551 |
1,520 |
$86K |
| 92015 |
Determination of refractive state |
1,960 |
1,917 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
374 |
369 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
955 |
941 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
513 |
504 |
$10K |
| V2020 |
Frames, purchases |
1,093 |
1,072 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
959 |
938 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
229 |
227 |
$0.00 |