| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
271 |
261 |
$9K |
| V2020 |
Frames, purchases |
217 |
202 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
155 |
150 |
$6K |
| 92015 |
Determination of refractive state |
402 |
385 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
153 |
153 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
207 |
192 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
178 |
165 |
$2K |