| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,697 |
2,684 |
$243K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,761 |
1,755 |
$131K |
| 92015 |
Determination of refractive state |
4,996 |
4,973 |
$75K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,926 |
3,904 |
$72K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
366 |
362 |
$15K |
| V2020 |
Frames, purchases |
230 |
226 |
$12K |
| V2025 |
Deluxe frame |
28 |
28 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
172 |
169 |
$2K |