| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
456 |
452 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
817 |
807 |
$25K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
421 |
415 |
$19K |
| 92015 |
Determination of refractive state |
1,023 |
1,009 |
$16K |
| 92083 |
|
179 |
166 |
$5K |
| 92341 |
|
141 |
140 |
$4K |
| 92250 |
|
91 |
89 |
$2K |
| 92134 |
|
29 |
28 |
$399.00 |
| V2020 |
Frames, purchases |
69 |
41 |
$336.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
65 |
39 |
$203.00 |