| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
312 |
304 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
345 |
336 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
112 |
108 |
$12K |
| V2020 |
Frames, purchases |
380 |
371 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
227 |
219 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
148 |
137 |
$3K |
| 92015 |
Determination of refractive state |
135 |
134 |
$2K |