| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
1,394 |
1,390 |
$64K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,555 |
1,549 |
$64K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,074 |
1,069 |
$40K |
| V2020 |
Frames, purchases |
1,809 |
1,791 |
$38K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,614 |
1,598 |
$35K |
| 92081 |
|
1,163 |
1,161 |
$33K |
| 92015 |
Determination of refractive state |
2,872 |
2,854 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
54 |
54 |
$460.80 |