| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
873 |
862 |
$69K |
| 92015 |
Determination of refractive state |
2,270 |
2,223 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
297 |
292 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
51 |
50 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
154 |
77 |
$748.68 |
| V2020 |
Frames, purchases |
95 |
94 |
$578.76 |