| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
449 |
431 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
376 |
351 |
$5K |
| 92341 |
|
212 |
189 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
78 |
71 |
$3K |
| V2020 |
Frames, purchases |
634 |
602 |
$2K |
| 92015 |
Determination of refractive state |
731 |
681 |
$2K |
| V2025 |
Deluxe frame |
62 |
55 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
59 |
58 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
13 |
$0.00 |