| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
506 |
499 |
$41K |
| V2020 |
Frames, purchases |
1,012 |
996 |
$32K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
486 |
475 |
$21K |
| 92015 |
Determination of refractive state |
1,074 |
1,059 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
552 |
538 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
83 |
81 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
564 |
555 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
56 |
54 |
$3K |
| 92341 |
|
46 |
44 |
$1K |