| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
881 |
873 |
$37K |
| 92015 |
Determination of refractive state |
1,560 |
1,537 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
533 |
522 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
842 |
804 |
$24K |
| 92341 |
|
199 |
194 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
292 |
270 |
$5K |
| V2020 |
Frames, purchases |
206 |
205 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
49 |
25 |
$135.00 |