| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
512 |
512 |
$61K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
481 |
480 |
$17K |
| V2020 |
Frames, purchases |
481 |
480 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
314 |
314 |
$4K |
| 92015 |
Determination of refractive state |
511 |
511 |
$3K |
| V2106 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens |
80 |
79 |
$1K |