| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,007 |
3,750 |
$302K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,005 |
946 |
$89K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,836 |
3,514 |
$82K |
| 92015 |
Determination of refractive state |
7,238 |
6,745 |
$79K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,547 |
726 |
$47K |
| V2020 |
Frames, purchases |
1,097 |
1,005 |
$34K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
340 |
315 |
$10K |