| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
548 |
452 |
$17K |
| 92015 |
Determination of refractive state |
1,706 |
1,541 |
$9K |
| V2020 |
Frames, purchases |
482 |
467 |
$7K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
36 |
24 |
$720.92 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$426.13 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12 |
12 |
$0.00 |