| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
822 |
807 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
798 |
774 |
$29K |
| V2020 |
Frames, purchases |
1,389 |
1,375 |
$23K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,061 |
1,048 |
$22K |
| 92015 |
Determination of refractive state |
640 |
625 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
524 |
515 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
204 |
177 |
$3K |
| 92341 |
|
31 |
20 |
$323.64 |