| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
835 |
821 |
$57K |
| 92015 |
Determination of refractive state |
1,417 |
1,395 |
$15K |
| V2020 |
Frames, purchases |
486 |
474 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
162 |
157 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
119 |
65 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
212 |
106 |
$828.88 |