| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
546 |
529 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
778 |
766 |
$14K |
| 92015 |
Determination of refractive state |
1,135 |
1,108 |
$12K |
| V2020 |
Frames, purchases |
342 |
335 |
$158.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
97 |
94 |
$83.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
376 |
370 |
$70.00 |