| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,019 |
931 |
$58K |
| 92015 |
Determination of refractive state |
1,982 |
1,785 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
414 |
366 |
$31K |
| V2020 |
Frames, purchases |
1,141 |
988 |
$28K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
770 |
696 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
562 |
518 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
527 |
480 |
$9K |
| 3072F |
|
630 |
586 |
$0.00 |
| 2023F |
|
59 |
54 |
$0.00 |