| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
480 |
471 |
$21K |
| 92015 |
Determination of refractive state |
665 |
651 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
292 |
290 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
166 |
163 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
332 |
325 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
298 |
292 |
$4K |
| V2020 |
Frames, purchases |
217 |
207 |
$3K |