| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,527 |
1,429 |
$89K |
| 92015 |
Determination of refractive state |
2,746 |
2,550 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
520 |
489 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
221 |
205 |
$19K |
| V2020 |
Frames, purchases |
572 |
498 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
448 |
398 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
116 |
107 |
$2K |