| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,192 |
3,063 |
$207K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,687 |
2,586 |
$168K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,007 |
963 |
$88K |
| 92015 |
Determination of refractive state |
4,018 |
3,852 |
$12K |
| 92370 |
|
31 |
31 |
$899.00 |
| V2020 |
Frames, purchases |
45 |
35 |
$607.50 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
42 |
27 |
$387.00 |