| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,528 |
2,295 |
$94K |
| 92015 |
Determination of refractive state |
2,751 |
2,541 |
$49K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,370 |
1,248 |
$40K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,089 |
945 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
319 |
297 |
$14K |
| 92341 |
|
137 |
131 |
$4K |
| V2020 |
Frames, purchases |
79 |
71 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$436.00 |
| 2023F |
|
27 |
27 |
$0.00 |