| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
844 |
751 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
680 |
612 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
467 |
446 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
295 |
236 |
$5K |
| V2020 |
Frames, purchases |
19 |
18 |
$317.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
12 |
$279.80 |
| 92015 |
Determination of refractive state |
14 |
12 |
$41.66 |