| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
272 |
265 |
$23K |
| 92015 |
Determination of refractive state |
895 |
838 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
763 |
731 |
$16K |
| V2020 |
Frames, purchases |
370 |
341 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
306 |
296 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
26 |
24 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
98 |
97 |
$0.00 |
| 2023F |
|
12 |
12 |
$0.00 |