| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
635 |
620 |
$42K |
| V2020 |
Frames, purchases |
1,027 |
864 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
261 |
254 |
$17K |
| 92015 |
Determination of refractive state |
917 |
894 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,002 |
844 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,001 |
845 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
100 |
99 |
$0.00 |