| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,742 |
1,630 |
$78K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,093 |
1,026 |
$32K |
| 92015 |
Determination of refractive state |
1,729 |
1,611 |
$31K |
| 92341 |
|
338 |
314 |
$10K |
| V2025 |
Deluxe frame |
218 |
191 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
94 |
84 |
$4K |
| V2020 |
Frames, purchases |
45 |
45 |
$1K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
49 |
46 |
$339.50 |
| V2208 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$108.00 |