| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,321 |
1,159 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
264 |
250 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
185 |
164 |
$12K |
| V2020 |
Frames, purchases |
94 |
71 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
83 |
71 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
31 |
30 |
$2K |
| V2756 |
Eye glass case |
104 |
87 |
$125.34 |