| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,216 |
3,162 |
$234K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,315 |
1,299 |
$83K |
| 92015 |
Determination of refractive state |
5,052 |
4,976 |
$45K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,367 |
2,299 |
$36K |
| V2020 |
Frames, purchases |
852 |
831 |
$16K |
| 92341 |
|
687 |
654 |
$14K |
| V2799 |
Vision item or service, miscellaneous |
108 |
108 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
127 |
127 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
211 |
206 |
$5K |