| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
929 |
751 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
420 |
409 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
341 |
333 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
848 |
689 |
$930.00 |
| 92015 |
Determination of refractive state |
1,046 |
1,022 |
$910.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
852 |
693 |
$435.00 |