| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
256 |
255 |
$8K |
| V2020 |
Frames, purchases |
256 |
256 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
130 |
128 |
$1K |
| 92341 |
|
27 |
27 |
$390.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$269.75 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$123.75 |