| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
485 |
454 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
196 |
189 |
$15K |
| V2020 |
Frames, purchases |
503 |
470 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
202 |
180 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
106 |
84 |
$3K |
| 92250 |
|
58 |
56 |
$2K |
| 92015 |
Determination of refractive state |
198 |
191 |
$2K |
| 92132 |
|
44 |
43 |
$760.15 |
| 92025 |
|
28 |
28 |
$553.38 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
49 |
46 |
$521.52 |
| 76514 |
|
57 |
56 |
$422.74 |
| 92133 |
|
39 |
38 |
$357.91 |