| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
324 |
302 |
$13K |
| V2020 |
Frames, purchases |
287 |
273 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
155 |
151 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
280 |
265 |
$6K |
| 92225 |
|
90 |
87 |
$5K |
| 92015 |
Determination of refractive state |
500 |
473 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
20 |
16 |
$195.97 |