| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
571 |
550 |
$48K |
| V2020 |
Frames, purchases |
1,771 |
1,350 |
$44K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,414 |
1,039 |
$37K |
| 92015 |
Determination of refractive state |
1,770 |
1,372 |
$31K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,755 |
1,340 |
$31K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
584 |
354 |
$25K |
| 92002 |
|
42 |
17 |
$1K |