| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,392 |
4,819 |
$171K |
| 92250 |
|
4,738 |
4,121 |
$84K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,000 |
4,524 |
$82K |
| 92015 |
Determination of refractive state |
7,580 |
6,731 |
$51K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
672 |
610 |
$21K |
| 99072 |
|
84 |
77 |
$0.00 |
| V2020 |
Frames, purchases |
30 |
27 |
$0.00 |
| V2025 |
Deluxe frame |
17 |
15 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
26 |
24 |
$0.00 |