| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
681 |
677 |
$46K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,697 |
1,677 |
$31K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
348 |
344 |
$26K |
| 92015 |
Determination of refractive state |
1,759 |
1,745 |
$22K |
| V2020 |
Frames, purchases |
502 |
492 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
195 |
145 |
$2K |