| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
221 |
221 |
$23K |
| 92015 |
Determination of refractive state |
482 |
474 |
$21K |
| V2020 |
Frames, purchases |
564 |
556 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
502 |
494 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
49 |
49 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
95 |
92 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
269 |
260 |
$0.00 |