| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,089 |
1,025 |
$45K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
457 |
443 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
480 |
458 |
$11K |
| V2020 |
Frames, purchases |
436 |
413 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
244 |
244 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
94 |
88 |
$66.00 |