| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
803 |
794 |
$77K |
| 92015 |
Determination of refractive state |
2,568 |
2,434 |
$59K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,421 |
2,313 |
$55K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
362 |
352 |
$40K |
| V2020 |
Frames, purchases |
736 |
673 |
$20K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
538 |
294 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
55 |
55 |
$4K |
| 92002 |
|
16 |
14 |
$604.53 |