| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
936 |
909 |
$36K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
616 |
590 |
$33K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
877 |
847 |
$24K |
| V2020 |
Frames, purchases |
651 |
622 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
72 |
71 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
462 |
450 |
$5K |