| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
603 |
599 |
$27K |
| 92015 |
Determination of refractive state |
861 |
858 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
739 |
719 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
54 |
54 |
$3K |
| V2020 |
Frames, purchases |
928 |
901 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
922 |
895 |
$40.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
511 |
499 |
$0.00 |