| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,886 |
2,669 |
$124K |
| 92015 |
Determination of refractive state |
2,637 |
2,464 |
$72K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,340 |
1,289 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
355 |
337 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
345 |
339 |
$16K |
| V2020 |
Frames, purchases |
1,297 |
1,208 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
240 |
217 |
$3K |