| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,183 |
3,672 |
$182K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,393 |
3,801 |
$131K |
| 92015 |
Determination of refractive state |
6,376 |
5,668 |
$113K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,089 |
1,852 |
$96K |
| 92250 |
|
1,030 |
904 |
$42K |
| V2020 |
Frames, purchases |
556 |
544 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
367 |
357 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
253 |
244 |
$3K |