| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,358 |
5,272 |
$201K |
| V2020 |
Frames, purchases |
6,160 |
6,079 |
$126K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,552 |
5,474 |
$115K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,370 |
2,345 |
$89K |
| 92015 |
Determination of refractive state |
7,755 |
7,622 |
$61K |
| 92341 |
|
625 |
620 |
$17K |
| 92250 |
|
260 |
259 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,067 |
1,063 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
30 |
30 |
$475.90 |