| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,044 |
1,009 |
$95K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,001 |
1,001 |
$36K |
| V2020 |
Frames, purchases |
1,096 |
1,094 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,055 |
1,023 |
$23K |
| 92015 |
Determination of refractive state |
1,340 |
1,291 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
114 |
114 |
$13K |
| 3072F |
|
1,249 |
1,206 |
$0.00 |