| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
483 |
472 |
$22K |
| 92015 |
Determination of refractive state |
1,061 |
1,045 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
499 |
493 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
181 |
180 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
148 |
147 |
$4K |
| V2020 |
Frames, purchases |
247 |
245 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
80 |
80 |
$899.00 |