| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
904 |
893 |
$85K |
| 92015 |
Determination of refractive state |
2,300 |
2,276 |
$39K |
| V2020 |
Frames, purchases |
270 |
261 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
286 |
277 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
38 |
38 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
119 |
117 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
25 |
$2K |