| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
436 |
412 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
271 |
263 |
$11K |
| V2020 |
Frames, purchases |
431 |
408 |
$9K |
| 92015 |
Determination of refractive state |
709 |
676 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
199 |
189 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
178 |
168 |
$3K |
| 92225 |
|
32 |
32 |
$2K |
| 92342 |
|
55 |
54 |
$2K |
| 92134 |
|
17 |
17 |
$700.91 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
15 |
15 |
$84.89 |