| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,906 |
1,805 |
$109K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,815 |
1,711 |
$92K |
| V2020 |
Frames, purchases |
1,418 |
1,332 |
$48K |
| 92015 |
Determination of refractive state |
3,515 |
3,419 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
518 |
428 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,446 |
2,320 |
$15K |
| 2026F |
|
28 |
12 |
$0.00 |