| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
377 |
373 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
135 |
134 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
312 |
307 |
$12K |
| V2020 |
Frames, purchases |
389 |
315 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
224 |
156 |
$3K |
| 92015 |
Determination of refractive state |
578 |
572 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
251 |
130 |
$1K |