| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
543 |
530 |
$41K |
| 92015 |
Determination of refractive state |
1,816 |
1,771 |
$22K |
| V2020 |
Frames, purchases |
759 |
691 |
$21K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
431 |
373 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
98 |
97 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
373 |
369 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
150 |
132 |
$4K |
| 1036F |
|
136 |
130 |
$0.00 |