| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
571 |
557 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
491 |
479 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
565 |
540 |
$21K |
| V2020 |
Frames, purchases |
599 |
574 |
$16K |
| 92015 |
Determination of refractive state |
736 |
725 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
146 |
144 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
259 |
245 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
278 |
260 |
$4K |