| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,464 |
13,280 |
$856K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,869 |
6,781 |
$536K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
17,696 |
17,553 |
$316K |
| 92015 |
Determination of refractive state |
19,922 |
19,786 |
$277K |
| V2020 |
Frames, purchases |
50 |
50 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
37 |
37 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
24 |
24 |
$1K |