| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,708 |
1,673 |
$69K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,284 |
1,258 |
$52K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,707 |
1,666 |
$34K |
| 92015 |
Determination of refractive state |
1,672 |
1,647 |
$16K |
| V2020 |
Frames, purchases |
1,327 |
1,302 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
877 |
848 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
848 |
827 |
$4K |
| 92341 |
|
111 |
109 |
$3K |
| 3072F |
|
66 |
64 |
$0.00 |