| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,240 |
4,191 |
$260K |
| V2020 |
Frames, purchases |
6,531 |
6,445 |
$225K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,486 |
3,464 |
$210K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,213 |
5,108 |
$180K |
| 92250 |
|
2,390 |
2,388 |
$162K |
| 92083 |
|
2,699 |
2,690 |
$95K |
| 92015 |
Determination of refractive state |
7,115 |
7,042 |
$90K |
| 92341 |
|
1,606 |
1,599 |
$85K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
574 |
531 |
$21K |
| 92284 |
|
301 |
301 |
$13K |
| 92133 |
|
141 |
140 |
$4K |
| 92025 |
|
27 |
26 |
$1K |
| 92225 |
|
62 |
62 |
$913.83 |
| 76514 |
|
12 |
12 |
$210.54 |