| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,896 |
1,817 |
$133K |
| 92015 |
Determination of refractive state |
3,204 |
3,061 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
460 |
432 |
$33K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,162 |
1,096 |
$22K |
| V2020 |
Frames, purchases |
923 |
850 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
615 |
570 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
421 |
386 |
$6K |
| 92370 |
|
128 |
128 |
$3K |