| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
996 |
808 |
$38K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,393 |
1,878 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
765 |
616 |
$10K |
| 92015 |
Determination of refractive state |
775 |
646 |
$8K |
| 92002 |
|
399 |
321 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
57 |
24 |
$120.00 |
| 92202 |
|
69 |
65 |
$30.96 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
133 |
103 |
$30.20 |
| V2020 |
Frames, purchases |
201 |
157 |
$20.18 |
| 92341 |
|
57 |
51 |
$0.00 |