| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
468 |
433 |
$44K |
| V2020 |
Frames, purchases |
742 |
683 |
$23K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
668 |
609 |
$22K |
| 92250 |
|
585 |
544 |
$20K |
| 92015 |
Determination of refractive state |
737 |
690 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
698 |
640 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
12 |
$1K |
| 92020 |
|
67 |
60 |
$1K |