| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,889 |
6,546 |
$409K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,601 |
1,525 |
$81K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
126 |
120 |
$3K |
| V2020 |
Frames, purchases |
127 |
120 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
128 |
122 |
$2K |
| 92310 |
|
61 |
54 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
65 |
65 |
$504.00 |
| 92015 |
Determination of refractive state |
62 |
59 |
$285.00 |
| S0592 |
Comprehensive contact lens evaluation |
14 |
14 |
$0.00 |