| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,616 |
3,309 |
$159K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,837 |
2,608 |
$131K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,429 |
4,115 |
$129K |
| 92015 |
Determination of refractive state |
6,419 |
5,926 |
$112K |
| V2020 |
Frames, purchases |
666 |
628 |
$12K |
| V2025 |
Deluxe frame |
226 |
209 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
564 |
528 |
$8K |