| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,624 |
1,506 |
$144K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,041 |
989 |
$114K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,453 |
2,915 |
$71K |
| 92015 |
Determination of refractive state |
3,306 |
3,043 |
$70K |
| V2020 |
Frames, purchases |
897 |
611 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
167 |
144 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
252 |
159 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
232 |
126 |
$0.00 |