| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
228 |
228 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
554 |
456 |
$6K |
| 92015 |
Determination of refractive state |
407 |
404 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
236 |
226 |
$130.00 |
| V2020 |
Frames, purchases |
204 |
199 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
41 |
41 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
41 |
41 |
$0.00 |