| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,129 |
6,092 |
$198K |
| V2020 |
Frames, purchases |
5,920 |
5,897 |
$100K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,461 |
4,450 |
$62K |
| 92015 |
Determination of refractive state |
7,971 |
7,922 |
$51K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,642 |
1,637 |
$47K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,151 |
1,141 |
$17K |
| 92341 |
|
12 |
12 |
$234.67 |