| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,910 |
3,500 |
$122K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,273 |
2,934 |
$96K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,813 |
1,538 |
$77K |
| 92015 |
Determination of refractive state |
4,162 |
3,637 |
$75K |
| 92250 |
|
563 |
502 |
$15K |
| V2020 |
Frames, purchases |
322 |
301 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
182 |
175 |
$3K |