| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
857 |
819 |
$79K |
| V2020 |
Frames, purchases |
1,124 |
1,046 |
$36K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,053 |
974 |
$25K |
| 92015 |
Determination of refractive state |
1,301 |
1,213 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
780 |
714 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
153 |
153 |
$19K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
128 |
125 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
908 |
838 |
$0.00 |