| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,421 |
1,239 |
$60K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,508 |
1,324 |
$43K |
| 92015 |
Determination of refractive state |
2,441 |
2,170 |
$42K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
193 |
179 |
$9K |
| V2020 |
Frames, purchases |
540 |
515 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
574 |
508 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
459 |
388 |
$3K |