| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,366 |
1,337 |
$51K |
| V2020 |
Frames, purchases |
1,939 |
1,900 |
$40K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,764 |
1,711 |
$36K |
| 92015 |
Determination of refractive state |
1,867 |
1,837 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
292 |
288 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,025 |
1,003 |
$8K |
| 92341 |
|
12 |
12 |
$362.02 |