| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
139 |
138 |
$7K |
| V2020 |
Frames, purchases |
181 |
181 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
112 |
112 |
$4K |
| 92015 |
Determination of refractive state |
194 |
193 |
$4K |
| 92083 |
|
54 |
54 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
24 |
24 |
$3K |
| V2025 |
Deluxe frame |
132 |
132 |
$2K |
| 92250 |
|
42 |
42 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
115 |
115 |
$2K |