| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
533 |
441 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
238 |
210 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
208 |
184 |
$14K |
| 92015 |
Determination of refractive state |
572 |
497 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
469 |
250 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
504 |
418 |
$4K |