| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,560 |
1,511 |
$123K |
| 92015 |
Determination of refractive state |
2,595 |
2,517 |
$31K |
| V2020 |
Frames, purchases |
279 |
260 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
147 |
125 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
167 |
161 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$1K |