| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
758 |
758 |
$40K |
| 92250 |
|
422 |
422 |
$21K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
390 |
385 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
295 |
295 |
$15K |
| V2020 |
Frames, purchases |
693 |
693 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
625 |
625 |
$13K |
| 92015 |
Determination of refractive state |
1,173 |
1,173 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
254 |
249 |
$6K |
| 92081 |
|
88 |
88 |
$3K |