| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
808 |
799 |
$59K |
| 92015 |
Determination of refractive state |
1,029 |
1,013 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
529 |
526 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
84 |
83 |
$5K |
| V2020 |
Frames, purchases |
37 |
37 |
$370.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
25 |
25 |
$96.00 |