| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
662 |
472 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
293 |
243 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
109 |
72 |
$4K |
| 92015 |
Determination of refractive state |
682 |
545 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
614 |
427 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
601 |
417 |
$2K |