| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
630 |
621 |
$39K |
| V2020 |
Frames, purchases |
1,139 |
905 |
$32K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
170 |
170 |
$11K |
| 92015 |
Determination of refractive state |
1,058 |
1,034 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,059 |
838 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,025 |
813 |
$1K |