| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
735 |
714 |
$72K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
370 |
355 |
$42K |
| V2020 |
Frames, purchases |
839 |
785 |
$29K |
| 92015 |
Determination of refractive state |
1,231 |
1,187 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
735 |
693 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
744 |
701 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
862 |
814 |
$13K |