| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,369 |
1,367 |
$65K |
| V2020 |
Frames, purchases |
2,014 |
1,987 |
$42K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,205 |
1,144 |
$25K |
| 92015 |
Determination of refractive state |
2,160 |
2,156 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
448 |
447 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
238 |
120 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
88 |
44 |
$3K |
| 92250 |
|
53 |
53 |
$2K |
| 92341 |
|
61 |
61 |
$2K |