| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
260 |
238 |
$10K |
| V2020 |
Frames, purchases |
410 |
366 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
212 |
197 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
396 |
353 |
$8K |
| 92015 |
Determination of refractive state |
501 |
462 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
22 |
22 |
$491.92 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
55 |
55 |
$433.16 |