| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
878 |
853 |
$30K |
| V2020 |
Frames, purchases |
662 |
629 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
158 |
155 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
480 |
459 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
195 |
186 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
387 |
371 |
$7K |