| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
535 |
506 |
$24K |
| V2020 |
Frames, purchases |
663 |
593 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
243 |
224 |
$10K |
| 92015 |
Determination of refractive state |
920 |
860 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
604 |
537 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
609 |
540 |
$3K |