| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,393 |
1,229 |
$58K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
972 |
857 |
$42K |
| 92015 |
Determination of refractive state |
2,382 |
2,106 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,174 |
1,149 |
$7K |
| V2020 |
Frames, purchases |
340 |
250 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
173 |
130 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
127 |
89 |
$2K |