| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,538 |
3,234 |
$218K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,240 |
3,034 |
$203K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,663 |
1,516 |
$136K |
| 92015 |
Determination of refractive state |
5,103 |
4,661 |
$2K |
| 92370 |
|
14 |
14 |
$290.00 |
| V2020 |
Frames, purchases |
252 |
232 |
$50.00 |
| V2781 |
Progressive lens, per lens |
289 |
197 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
178 |
161 |
$0.00 |