| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,698 |
2,589 |
$134K |
| 92015 |
Determination of refractive state |
3,262 |
3,190 |
$42K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
633 |
602 |
$38K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,114 |
1,100 |
$33K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
691 |
683 |
$22K |
| V2020 |
Frames, purchases |
1,105 |
1,070 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
665 |
656 |
$13K |