| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
30,275 |
25,431 |
$883K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,280 |
3,275 |
$215K |
| 92341 |
|
4,412 |
4,242 |
$158K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,653 |
2,648 |
$123K |
| 92015 |
Determination of refractive state |
9,601 |
9,580 |
$122K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,729 |
2,724 |
$118K |
| V2020 |
Frames, purchases |
716 |
694 |
$94K |
| 92002 |
|
750 |
748 |
$39K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
128 |
119 |
$11K |
| 92370 |
|
838 |
778 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
46 |
41 |
$2K |
| 92250 |
|
61 |
60 |
$2K |
| 92134 |
|
59 |
58 |
$586.36 |