| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
741 |
712 |
$33K |
| 92015 |
Determination of refractive state |
1,001 |
969 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
491 |
473 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
235 |
228 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
314 |
300 |
$8K |
| V2020 |
Frames, purchases |
328 |
321 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16 |
13 |
$720.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
41 |
41 |
$408.46 |