| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,506 |
2,871 |
$199K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,847 |
1,552 |
$139K |
| 92015 |
Determination of refractive state |
5,748 |
4,830 |
$68K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,812 |
2,430 |
$52K |
| 92341 |
|
321 |
297 |
$8K |
| V2020 |
Frames, purchases |
1,098 |
789 |
$2K |
| V2025 |
Deluxe frame |
845 |
610 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
635 |
432 |
$489.50 |
| 3072F |
|
16 |
16 |
$0.00 |