| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
770 |
645 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
290 |
285 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
111 |
106 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
747 |
609 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
767 |
625 |
$4K |
| 92015 |
Determination of refractive state |
454 |
442 |
$3K |