| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
471 |
446 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
129 |
122 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
41 |
38 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
104 |
102 |
$3K |
| V2020 |
Frames, purchases |
111 |
110 |
$3K |
| 92015 |
Determination of refractive state |
687 |
648 |
$1K |