| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
484 |
470 |
$46K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
456 |
439 |
$14K |
| 92370 |
|
445 |
427 |
$10K |
| 92015 |
Determination of refractive state |
551 |
535 |
$7K |
| V2020 |
Frames, purchases |
128 |
122 |
$4K |
| 92250 |
|
122 |
122 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
25 |
25 |
$2K |
| 92341 |
|
58 |
56 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
89 |
89 |
$2K |