| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,380 |
5,778 |
$185K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,838 |
2,747 |
$127K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,676 |
1,668 |
$108K |
| 92015 |
Determination of refractive state |
4,870 |
4,754 |
$60K |
| 92341 |
|
368 |
368 |
$14K |
| 99328 |
|
90 |
88 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$605.06 |
| 99337 |
|
12 |
12 |
$575.52 |