| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
727 |
673 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
302 |
274 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
213 |
205 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
75 |
68 |
$5K |
| V2020 |
Frames, purchases |
216 |
197 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
116 |
111 |
$2K |