| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,926 |
1,818 |
$68K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,715 |
1,536 |
$44K |
| 92370 |
|
2,123 |
1,935 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
798 |
737 |
$25K |
| 92015 |
Determination of refractive state |
3,187 |
3,013 |
$22K |
| 92341 |
|
477 |
458 |
$7K |
| V2020 |
Frames, purchases |
103 |
93 |
$364.17 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
15 |
14 |
$63.84 |
| 92250 |
|
12 |
12 |
$0.00 |