| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
388 |
299 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
350 |
274 |
$14K |
| V2020 |
Frames, purchases |
543 |
353 |
$7K |
| 92015 |
Determination of refractive state |
863 |
683 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
407 |
134 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
243 |
240 |
$2K |