| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,334 |
1,285 |
$127K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
445 |
440 |
$42K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,986 |
1,913 |
$34K |
| V2020 |
Frames, purchases |
1,057 |
1,038 |
$20K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,001 |
982 |
$20K |
| 92015 |
Determination of refractive state |
1,985 |
1,929 |
$17K |
| V2755 |
U-v lens, per lens |
1,054 |
1,033 |
$4K |