| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
992 |
856 |
$66K |
| 92015 |
Determination of refractive state |
1,464 |
1,135 |
$43K |
| V2020 |
Frames, purchases |
1,346 |
1,187 |
$39K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,203 |
1,053 |
$37K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,347 |
1,185 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
133 |
123 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16 |
16 |
$2K |