| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
750 |
715 |
$87K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
637 |
600 |
$61K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
604 |
579 |
$59K |
| 92015 |
Determination of refractive state |
1,926 |
1,850 |
$28K |
| V2020 |
Frames, purchases |
591 |
565 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
287 |
280 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
344 |
199 |
$4K |
| 4040F |
|
22 |
12 |
$0.00 |