| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
640 |
614 |
$51K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
503 |
493 |
$36K |
| 92015 |
Determination of refractive state |
1,330 |
1,282 |
$12K |
| V2020 |
Frames, purchases |
1,209 |
1,155 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,031 |
988 |
$292.02 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,017 |
973 |
$248.55 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
13 |
$0.00 |