| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,365 |
2,265 |
$107K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,859 |
1,768 |
$86K |
| 92015 |
Determination of refractive state |
2,413 |
2,290 |
$44K |
| V2020 |
Frames, purchases |
397 |
362 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
165 |
162 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
73 |
60 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
93 |
80 |
$908.44 |
| 92310 |
|
12 |
12 |
$492.00 |
| 3072F |
|
1,166 |
1,117 |
$0.00 |