| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
429 |
395 |
$18K |
| 92015 |
Determination of refractive state |
1,009 |
934 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
379 |
359 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
213 |
200 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
220 |
207 |
$3K |
| V2020 |
Frames, purchases |
172 |
162 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
49 |
46 |
$278.00 |