| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
240 |
230 |
$20K |
| V2020 |
Frames, purchases |
254 |
238 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
253 |
237 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
88 |
77 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
229 |
216 |
$7K |
| 92015 |
Determination of refractive state |
352 |
328 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
76 |
73 |
$4K |
| 92310 |
|
19 |
19 |
$2K |