| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,019 |
978 |
$55K |
| 92015 |
Determination of refractive state |
1,600 |
1,541 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
784 |
777 |
$22K |
| V2020 |
Frames, purchases |
803 |
796 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
263 |
258 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
682 |
643 |
$15K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
110 |
109 |
$4K |