| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,201 |
1,201 |
$123K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
612 |
612 |
$77K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,707 |
1,698 |
$51K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,802 |
1,789 |
$50K |
| 92015 |
Determination of refractive state |
1,854 |
1,851 |
$33K |
| V2020 |
Frames, purchases |
1,746 |
1,734 |
$17K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,844 |
1,829 |
$0.00 |