| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,556 |
2,488 |
$291K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,917 |
1,859 |
$195K |
| 92310 |
|
674 |
650 |
$81K |
| 92060 |
|
1,523 |
1,485 |
$81K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
33 |
32 |
$3K |
| V2020 |
Frames, purchases |
39 |
38 |
$2K |
| 92020 |
|
102 |
95 |
$2K |
| V2750 |
Anti-reflective coating, per lens |
35 |
35 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
14 |
14 |
$338.84 |