| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
665 |
636 |
$60K |
| V2020 |
Frames, purchases |
1,300 |
1,239 |
$39K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,088 |
1,038 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
302 |
292 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,151 |
1,107 |
$25K |
| 92015 |
Determination of refractive state |
1,446 |
1,375 |
$21K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
384 |
360 |
$3K |