| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,883 |
1,882 |
$88K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
462 |
462 |
$52K |
| V2020 |
Frames, purchases |
698 |
692 |
$38K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,244 |
1,222 |
$19K |
| 92341 |
|
613 |
612 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
205 |
205 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
209 |
200 |
$8K |
| 92370 |
|
20 |
19 |
$140.00 |