| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
637 |
529 |
$27K |
| 92015 |
Determination of refractive state |
980 |
816 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
454 |
407 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
306 |
256 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
113 |
113 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
26 |
26 |
$1K |
| 92341 |
|
30 |
29 |
$892.98 |
| V2020 |
Frames, purchases |
13 |
13 |
$140.40 |