| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,506 |
3,790 |
$352K |
| 92015 |
Determination of refractive state |
5,272 |
4,397 |
$128K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
770 |
723 |
$84K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,116 |
2,615 |
$62K |
| 92250 |
|
2,328 |
1,919 |
$62K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
483 |
459 |
$38K |
| V2020 |
Frames, purchases |
1,138 |
1,091 |
$28K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
285 |
282 |
$2K |
| 3072F |
|
1,141 |
1,068 |
$0.00 |