| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
398 |
374 |
$17K |
| 92015 |
Determination of refractive state |
837 |
779 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
387 |
370 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
151 |
140 |
$6K |
| V2020 |
Frames, purchases |
107 |
83 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
28 |
28 |
$392.00 |
| 92341 |
|
12 |
12 |
$354.60 |