| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,730 |
1,663 |
$165K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,763 |
1,718 |
$157K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
238 |
193 |
$20K |
| V2020 |
Frames, purchases |
750 |
722 |
$19K |
| 92015 |
Determination of refractive state |
3,543 |
3,413 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
637 |
611 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
725 |
401 |
$2K |
| 92002 |
|
13 |
13 |
$1K |