| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
321 |
257 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
399 |
334 |
$7K |
| V2020 |
Frames, purchases |
512 |
419 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
433 |
354 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
29 |
29 |
$3K |
| 92015 |
Determination of refractive state |
509 |
422 |
$0.00 |