| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,424 |
1,212 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
972 |
873 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,148 |
1,082 |
$22K |
| V2020 |
Frames, purchases |
1,000 |
804 |
$16K |
| 92015 |
Determination of refractive state |
2,917 |
2,537 |
$14K |
| 92341 |
|
253 |
215 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
569 |
464 |
$5K |