| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,215 |
2,182 |
$158K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,537 |
1,509 |
$99K |
| 92015 |
Determination of refractive state |
3,997 |
3,925 |
$41K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,155 |
2,100 |
$40K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
614 |
585 |
$30K |
| V2020 |
Frames, purchases |
634 |
629 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
108 |
107 |
$2K |