| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
861 |
831 |
$35K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
982 |
926 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
767 |
737 |
$16K |
| 92015 |
Determination of refractive state |
1,677 |
1,574 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
536 |
516 |
$8K |
| V2020 |
Frames, purchases |
728 |
701 |
$7K |
| 92341 |
|
110 |
105 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
352 |
338 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
38 |
38 |
$113.10 |