| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
771 |
728 |
$35K |
| 92015 |
Determination of refractive state |
1,468 |
1,311 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
162 |
144 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
256 |
230 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
177 |
157 |
$5K |
| V2020 |
Frames, purchases |
255 |
231 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
13 |
$580.00 |