| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
860 |
790 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
393 |
360 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,382 |
1,292 |
$22K |
| 92015 |
Determination of refractive state |
1,736 |
1,641 |
$14K |
| V2020 |
Frames, purchases |
320 |
300 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
164 |
154 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
78 |
74 |
$796.06 |