| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
885 |
845 |
$144K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
405 |
384 |
$55K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,266 |
1,203 |
$9K |
| V2020 |
Frames, purchases |
1,493 |
1,418 |
$9K |
| 92015 |
Determination of refractive state |
1,383 |
1,318 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
862 |
822 |
$2K |
| 92341 |
|
27 |
27 |
$28.10 |