| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
380 |
346 |
$14K |
| 92015 |
Determination of refractive state |
502 |
455 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
395 |
354 |
$7K |
| V2020 |
Frames, purchases |
340 |
304 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
301 |
267 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
75 |
62 |
$2K |
| V2025 |
Deluxe frame |
68 |
65 |
$0.00 |