| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
576 |
558 |
$35K |
| V2020 |
Frames, purchases |
1,082 |
916 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
76 |
75 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
904 |
766 |
$3K |
| 92015 |
Determination of refractive state |
1,017 |
978 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
891 |
755 |
$2K |