| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,514 |
1,487 |
$54K |
| 92225 |
|
902 |
890 |
$29K |
| 92015 |
Determination of refractive state |
1,892 |
1,857 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
321 |
317 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
546 |
541 |
$10K |
| V2020 |
Frames, purchases |
533 |
527 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
327 |
323 |
$3K |
| 92250 |
|
30 |
28 |
$1K |