| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
688 |
688 |
$85K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,304 |
1,161 |
$67K |
| V2020 |
Frames, purchases |
1,069 |
1,051 |
$49K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
314 |
314 |
$37K |
| 92015 |
Determination of refractive state |
1,110 |
1,108 |
$22K |
| 92250 |
|
159 |
159 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
108 |
107 |
$2K |