| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,222 |
2,196 |
$45K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
793 |
792 |
$29K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,201 |
1,187 |
$26K |
| 92015 |
Determination of refractive state |
3,090 |
3,073 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,092 |
1,071 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
322 |
322 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
532 |
529 |
$4K |