| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
703 |
670 |
$65K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
219 |
216 |
$16K |
| V2020 |
Frames, purchases |
933 |
875 |
$5K |
| 92015 |
Determination of refractive state |
1,157 |
1,106 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
509 |
488 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
845 |
807 |
$3K |