| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
325 |
315 |
$39K |
| 92060 |
|
676 |
641 |
$34K |
| 92250 |
|
690 |
652 |
$31K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
72 |
61 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
79 |
75 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
71 |
61 |
$4K |
| V2020 |
Frames, purchases |
46 |
38 |
$3K |
| V2750 |
Anti-reflective coating, per lens |
71 |
61 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
60 |
50 |
$1K |
| 92015 |
Determination of refractive state |
543 |
523 |
$118.45 |