| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,082 |
3,987 |
$300K |
| 92083 |
|
5,127 |
5,086 |
$205K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,887 |
2,850 |
$175K |
| 92250 |
|
4,387 |
4,349 |
$160K |
| 92015 |
Determination of refractive state |
2,998 |
2,988 |
$149K |
| 68810 |
|
869 |
634 |
$116K |
| 92270 |
|
1,907 |
1,895 |
$92K |
| 92060 |
|
2,843 |
2,826 |
$83K |
| 68761 |
|
58 |
37 |
$4K |
| V2020 |
Frames, purchases |
254 |
248 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
179 |
178 |
$3K |
| 92341 |
|
63 |
63 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
195 |
99 |
$118.00 |
| 2026F |
|
2,441 |
2,416 |
$0.00 |