| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,612 |
1,610 |
$119K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,560 |
1,555 |
$104K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,819 |
2,808 |
$45K |
| 92015 |
Determination of refractive state |
3,342 |
3,334 |
$43K |
| V2020 |
Frames, purchases |
1,609 |
1,602 |
$42K |
| V2199 |
Not otherwise classified, single vision lens |
377 |
374 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,556 |
1,549 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
612 |
609 |
$8K |