| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
793 |
706 |
$60K |
| 92015 |
Determination of refractive state |
2,552 |
2,319 |
$43K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
813 |
729 |
$43K |
| V2020 |
Frames, purchases |
409 |
395 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
120 |
109 |
$4K |
| 92250 |
|
191 |
168 |
$2K |
| 1000F |
|
879 |
784 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
148 |
101 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
54 |
54 |
$235.61 |