| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
644 |
637 |
$26K |
| 92015 |
Determination of refractive state |
1,236 |
1,222 |
$12K |
| V2020 |
Frames, purchases |
553 |
544 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
177 |
176 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
313 |
309 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
208 |
204 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
117 |
116 |
$1K |