| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,014 |
989 |
$44K |
| 92015 |
Determination of refractive state |
1,669 |
1,601 |
$30K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
661 |
616 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
395 |
383 |
$12K |
| V2025 |
Deluxe frame |
235 |
227 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
225 |
217 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
254 |
245 |
$435.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
22 |
22 |
$84.00 |