| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
430 |
430 |
$48K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
539 |
539 |
$16K |
| 92015 |
Determination of refractive state |
739 |
738 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
367 |
367 |
$7K |
| V2020 |
Frames, purchases |
582 |
582 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
34 |
34 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
599 |
599 |
$0.00 |