| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
656 |
622 |
$43K |
| V2020 |
Frames, purchases |
834 |
779 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
208 |
200 |
$16K |
| 92015 |
Determination of refractive state |
1,297 |
1,214 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
409 |
380 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
225 |
224 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
85 |
77 |
$2K |