| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
698 |
693 |
$32K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
513 |
510 |
$22K |
| 92015 |
Determination of refractive state |
1,373 |
1,360 |
$21K |
| V2020 |
Frames, purchases |
375 |
373 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
319 |
317 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
324 |
322 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
122 |
121 |
$1K |