| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,070 |
1,045 |
$59K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
884 |
877 |
$18K |
| V2020 |
Frames, purchases |
1,220 |
1,204 |
$16K |
| 92015 |
Determination of refractive state |
1,757 |
1,728 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
473 |
465 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
108 |
108 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
927 |
914 |
$5K |