| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,233 |
2,074 |
$99K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,578 |
1,532 |
$65K |
| 92015 |
Determination of refractive state |
3,589 |
3,393 |
$62K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,885 |
1,782 |
$55K |
| V2020 |
Frames, purchases |
458 |
435 |
$11K |
| 92341 |
|
137 |
119 |
$4K |
| 92250 |
|
68 |
50 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
62 |
59 |
$800.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14 |
13 |
$152.00 |
| 3072F |
|
189 |
182 |
$0.00 |