| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
681 |
681 |
$33K |
| 92015 |
Determination of refractive state |
1,062 |
1,060 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
789 |
782 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
209 |
209 |
$9K |
| V2020 |
Frames, purchases |
848 |
830 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
250 |
234 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
567 |
519 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
831 |
787 |
$0.00 |