| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
312 |
295 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
197 |
189 |
$13K |
| 92015 |
Determination of refractive state |
573 |
546 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
185 |
172 |
$1K |
| V2020 |
Frames, purchases |
172 |
159 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
29 |
27 |
$379.50 |
| 2020F |
|
127 |
118 |
$101.09 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
133 |
125 |
$49.68 |