| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
679 |
596 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
397 |
346 |
$17K |
| V2020 |
Frames, purchases |
376 |
288 |
$6K |
| 92015 |
Determination of refractive state |
1,212 |
1,055 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
722 |
713 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
160 |
57 |
$1K |