| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,409 |
1,402 |
$64K |
| 92015 |
Determination of refractive state |
2,126 |
2,112 |
$36K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,166 |
1,161 |
$34K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
673 |
669 |
$29K |
| V2020 |
Frames, purchases |
232 |
230 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
97 |
96 |
$1K |