| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
292 |
292 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
181 |
180 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
591 |
587 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
583 |
578 |
$16K |
| V2020 |
Frames, purchases |
642 |
637 |
$7K |
| 92015 |
Determination of refractive state |
362 |
362 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
546 |
541 |
$223.46 |