| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
479 |
467 |
$36K |
| V2025 |
Deluxe frame |
767 |
638 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
184 |
175 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
762 |
633 |
$13K |
| 92015 |
Determination of refractive state |
522 |
508 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
49 |
41 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
65 |
65 |
$1K |