| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,291 |
2,039 |
$129K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,445 |
1,280 |
$104K |
| 92015 |
Determination of refractive state |
4,394 |
3,826 |
$12K |
| V2020 |
Frames, purchases |
117 |
101 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
116 |
100 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
84 |
41 |
$277.75 |