| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
961 |
934 |
$46K |
| 92015 |
Determination of refractive state |
1,795 |
1,739 |
$30K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
414 |
405 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
601 |
574 |
$17K |
| V2020 |
Frames, purchases |
259 |
243 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
85 |
78 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
88 |
84 |
$945.21 |
| 92250 |
|
13 |
13 |
$525.82 |
| 2033F |
|
113 |
113 |
$0.00 |