| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
409 |
376 |
$20K |
| V2020 |
Frames, purchases |
406 |
372 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
52 |
28 |
$3K |
| 92015 |
Determination of refractive state |
946 |
838 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
115 |
101 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
446 |
371 |
$311.09 |
| V2025 |
Deluxe frame |
29 |
17 |
$0.00 |