| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,333 |
1,330 |
$66K |
| V2020 |
Frames, purchases |
1,560 |
1,534 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
820 |
809 |
$17K |
| 92015 |
Determination of refractive state |
2,035 |
2,027 |
$16K |
| 92341 |
|
267 |
266 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
149 |
149 |
$5K |
| 92250 |
|
38 |
38 |
$1K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
52 |
52 |
$1K |