| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,810 |
4,137 |
$406K |
| 92015 |
Determination of refractive state |
6,427 |
5,892 |
$93K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
826 |
754 |
$90K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,297 |
2,140 |
$59K |
| 99072 |
|
655 |
640 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
32 |
31 |
$0.00 |
| V2760 |
Scratch resistant coating, per lens |
13 |
13 |
$0.00 |