| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
524 |
518 |
$32K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
356 |
351 |
$24K |
| 92015 |
Determination of refractive state |
1,212 |
1,198 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,016 |
1,003 |
$15K |
| V2020 |
Frames, purchases |
254 |
254 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
139 |
139 |
$2K |