| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,476 |
1,383 |
$125K |
| 92015 |
Determination of refractive state |
2,069 |
1,906 |
$43K |
| V2020 |
Frames, purchases |
929 |
828 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
98 |
74 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
254 |
225 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
636 |
580 |
$6K |