| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
527 |
493 |
$21K |
| 92015 |
Determination of refractive state |
738 |
693 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
550 |
504 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
369 |
335 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
136 |
131 |
$7K |
| V2020 |
Frames, purchases |
524 |
484 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
65 |
61 |
$1K |
| V2025 |
Deluxe frame |
97 |
93 |
$0.00 |