| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,308 |
1,093 |
$44K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,333 |
1,125 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
428 |
329 |
$17K |
| 92015 |
Determination of refractive state |
1,454 |
1,168 |
$12K |
| 92341 |
|
342 |
240 |
$5K |
| V2020 |
Frames, purchases |
466 |
321 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
246 |
122 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
44 |
26 |
$272.64 |