| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,029 |
1,029 |
$104K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
991 |
988 |
$29K |
| 92015 |
Determination of refractive state |
1,064 |
1,064 |
$19K |
| V2020 |
Frames, purchases |
943 |
941 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
316 |
313 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
25 |
25 |
$558.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
497 |
495 |
$0.00 |