| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,341 |
2,134 |
$101K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,235 |
1,186 |
$56K |
| 92015 |
Determination of refractive state |
2,598 |
2,533 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
323 |
234 |
$5K |
| V2020 |
Frames, purchases |
455 |
345 |
$468.63 |
| 2022F |
|
188 |
186 |
$0.00 |
| G0117 |
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
190 |
190 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
94 |
82 |
$0.00 |
| 3072F |
|
84 |
84 |
$0.00 |