| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
869 |
803 |
$55K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
165 |
139 |
$10K |
| V2020 |
Frames, purchases |
493 |
431 |
$3K |
| 92310 |
|
44 |
43 |
$2K |
| 92015 |
Determination of refractive state |
690 |
659 |
$2K |
| 92002 |
|
14 |
12 |
$940.17 |
| 2023F |
|
154 |
145 |
$130.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
379 |
330 |
$75.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
410 |
362 |
$75.00 |