| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
452 |
412 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
299 |
277 |
$17K |
| V2020 |
Frames, purchases |
469 |
447 |
$12K |
| 92015 |
Determination of refractive state |
748 |
688 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
396 |
377 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
591 |
307 |
$2K |