| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
150 |
137 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
171 |
160 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
56 |
54 |
$4K |
| V2020 |
Frames, purchases |
278 |
263 |
$2K |
| 92015 |
Determination of refractive state |
441 |
422 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
402 |
371 |
$2K |
| V2025 |
Deluxe frame |
37 |
28 |
$0.00 |