| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,456 |
1,410 |
$102K |
| V2020 |
Frames, purchases |
1,378 |
1,331 |
$35K |
| 92015 |
Determination of refractive state |
2,309 |
2,208 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
895 |
869 |
$18K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,045 |
1,005 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
298 |
291 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
65 |
65 |
$5K |