| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
995 |
945 |
$49K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
468 |
449 |
$29K |
| V2020 |
Frames, purchases |
597 |
584 |
$18K |
| 92015 |
Determination of refractive state |
1,656 |
1,579 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
822 |
407 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
594 |
585 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
508 |
291 |
$2K |