| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
594 |
587 |
$29K |
| V2020 |
Frames, purchases |
629 |
620 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
871 |
430 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
465 |
461 |
$7K |
| 92015 |
Determination of refractive state |
829 |
818 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
39 |
39 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,036 |
512 |
$3K |