| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,218 |
1,052 |
$64K |
| 92015 |
Determination of refractive state |
1,306 |
1,178 |
$28K |
| 92250 |
|
581 |
570 |
$19K |
| V2020 |
Frames, purchases |
553 |
531 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
147 |
145 |
$6K |
| 92341 |
|
148 |
141 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
67 |
67 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
92 |
91 |
$1K |