| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,113 |
3,009 |
$209K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,991 |
1,941 |
$119K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,984 |
5,659 |
$83K |
| 92015 |
Determination of refractive state |
5,098 |
4,948 |
$47K |
| 92341 |
|
1,112 |
1,036 |
$16K |
| V2799 |
Vision item or service, miscellaneous |
92 |
91 |
$8K |
| V2020 |
Frames, purchases |
275 |
230 |
$8K |
| V2599 |
Contact lens, other type |
60 |
60 |
$6K |
| 92342 |
|
54 |
53 |
$787.08 |