| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,698 |
1,665 |
$135K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,930 |
1,919 |
$133K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,349 |
4,289 |
$74K |
| 92015 |
Determination of refractive state |
3,683 |
3,646 |
$50K |
| V2020 |
Frames, purchases |
371 |
369 |
$17K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,069 |
523 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
794 |
394 |
$5K |