| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
745 |
686 |
$31K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
670 |
635 |
$30K |
| 92015 |
Determination of refractive state |
1,399 |
1,301 |
$6K |
| V2020 |
Frames, purchases |
301 |
288 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
702 |
664 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
55 |
25 |
$1K |