| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
311 |
306 |
$25K |
| 92015 |
Determination of refractive state |
1,150 |
1,124 |
$14K |
| V2020 |
Frames, purchases |
133 |
127 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
177 |
172 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
34 |
34 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
110 |
52 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
73 |
69 |
$2K |