| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
712 |
711 |
$78K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
690 |
689 |
$64K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
962 |
959 |
$24K |
| 92015 |
Determination of refractive state |
1,471 |
1,467 |
$22K |
| V2020 |
Frames, purchases |
986 |
982 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
966 |
962 |
$17K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
978 |
973 |
$16K |