| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,988 |
2,917 |
$222K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,327 |
1,302 |
$117K |
| 92015 |
Determination of refractive state |
6,502 |
6,346 |
$75K |
| 92370 |
|
2,664 |
2,591 |
$59K |
| V2020 |
Frames, purchases |
1,257 |
1,195 |
$26K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,275 |
617 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
755 |
724 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
417 |
248 |
$5K |