| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
385 |
355 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
691 |
651 |
$19K |
| 92015 |
Determination of refractive state |
788 |
745 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
107 |
92 |
$8K |
| V2020 |
Frames, purchases |
289 |
266 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
274 |
147 |
$3K |
| 2022F |
|
43 |
43 |
$0.00 |