| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,001 |
985 |
$79K |
| V2020 |
Frames, purchases |
1,376 |
1,287 |
$44K |
| 92015 |
Determination of refractive state |
2,439 |
2,388 |
$29K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
278 |
149 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
69 |
68 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
234 |
231 |
$6K |