| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
794 |
784 |
$36K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
704 |
689 |
$21K |
| 92015 |
Determination of refractive state |
1,181 |
1,171 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
290 |
288 |
$13K |
| V2020 |
Frames, purchases |
222 |
219 |
$7K |
| 92250 |
|
60 |
60 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
143 |
143 |
$1K |
| 92002 |
|
13 |
13 |
$323.30 |