| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,906 |
2,692 |
$134K |
| 92015 |
Determination of refractive state |
4,601 |
4,279 |
$83K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,578 |
1,460 |
$71K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,690 |
1,595 |
$50K |
| 92341 |
|
99 |
93 |
$3K |
| V2020 |
Frames, purchases |
159 |
109 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
102 |
52 |
$292.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
22 |
12 |
$5.00 |