| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
989 |
968 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
205 |
201 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
180 |
124 |
$3K |
| V2020 |
Frames, purchases |
301 |
297 |
$3K |
| 92015 |
Determination of refractive state |
1,494 |
1,468 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
57 |
56 |
$815.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
19 |
13 |
$61.00 |