| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
232 |
220 |
$12K |
| V2020 |
Frames, purchases |
305 |
283 |
$7K |
| 92015 |
Determination of refractive state |
392 |
376 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
65 |
62 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
262 |
241 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
259 |
239 |
$2K |