| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
492 |
450 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
379 |
304 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
98 |
96 |
$6K |
| 92015 |
Determination of refractive state |
723 |
615 |
$675.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
457 |
414 |
$634.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
451 |
407 |
$623.92 |