| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,642 |
1,575 |
$35K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
617 |
587 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
196 |
189 |
$13K |
| V2020 |
Frames, purchases |
341 |
310 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
108 |
98 |
$2K |
| 92370 |
|
83 |
83 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
45 |
41 |
$1K |