| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,290 |
1,269 |
$55K |
| V2020 |
Frames, purchases |
2,069 |
2,021 |
$41K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,039 |
978 |
$38K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,623 |
1,576 |
$34K |
| 92015 |
Determination of refractive state |
2,493 |
2,405 |
$19K |
| 92341 |
|
103 |
103 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
99 |
97 |
$784.08 |