| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,007 |
1,939 |
$166K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,937 |
1,866 |
$161K |
| 92015 |
Determination of refractive state |
5,671 |
5,429 |
$92K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
744 |
738 |
$51K |
| 92002 |
|
498 |
493 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
679 |
663 |
$17K |
| V2020 |
Frames, purchases |
135 |
127 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
106 |
102 |
$3K |
| 3072F |
|
2,828 |
2,717 |
$0.00 |