| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,275 |
1,263 |
$30K |
| 92015 |
Determination of refractive state |
1,814 |
1,796 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
335 |
332 |
$10K |
| V2020 |
Frames, purchases |
134 |
134 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
140 |
138 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
298 |
296 |
$3K |
| 92341 |
|
90 |
90 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
58 |
58 |
$745.54 |