| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
438 |
425 |
$35K |
| V2020 |
Frames, purchases |
818 |
789 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
720 |
683 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
86 |
85 |
$5K |
| 92015 |
Determination of refractive state |
784 |
761 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
441 |
425 |
$1K |