| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
348 |
336 |
$26K |
| 92015 |
Determination of refractive state |
1,678 |
1,578 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
680 |
625 |
$14K |
| V2020 |
Frames, purchases |
503 |
441 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
133 |
106 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
226 |
198 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
73 |
70 |
$4K |
| 99072 |
|
54 |
53 |
$115.50 |