| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,656 |
2,571 |
$197K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,703 |
1,654 |
$114K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,789 |
3,743 |
$66K |
| V2025 |
Deluxe frame |
381 |
308 |
$22K |
| 92341 |
|
835 |
829 |
$14K |
| V2430 |
Variable asphericity lens, bifocal, full field, glass or plastic, per lens |
113 |
91 |
$11K |
| V2760 |
Scratch resistant coating, per lens |
378 |
308 |
$9K |
| 92015 |
Determination of refractive state |
191 |
166 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
29 |
27 |
$3K |
| V2020 |
Frames, purchases |
25 |
25 |
$1K |