| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
190 |
183 |
$16K |
| V2020 |
Frames, purchases |
529 |
494 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
311 |
291 |
$10K |
| 92015 |
Determination of refractive state |
448 |
433 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
422 |
394 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
368 |
334 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
43 |
40 |
$5K |