| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
266 |
254 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
68 |
66 |
$3K |
| 92015 |
Determination of refractive state |
474 |
454 |
$2K |
| V2020 |
Frames, purchases |
76 |
72 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
234 |
223 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
36 |
34 |
$499.74 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14 |
12 |
$109.38 |