| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,243 |
3,032 |
$172K |
| 92015 |
Determination of refractive state |
4,997 |
4,651 |
$70K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,437 |
2,266 |
$64K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,770 |
1,507 |
$57K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
694 |
645 |
$51K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,644 |
2,470 |
$44K |
| V2020 |
Frames, purchases |
3,175 |
2,963 |
$42K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
854 |
817 |
$26K |