| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
432 |
424 |
$18K |
| V2020 |
Frames, purchases |
384 |
369 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
264 |
260 |
$11K |
| 92015 |
Determination of refractive state |
721 |
706 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
262 |
262 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
362 |
348 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
298 |
284 |
$4K |