| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
606 |
595 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
341 |
332 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
578 |
558 |
$12K |
| 92341 |
|
44 |
44 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
41 |
41 |
$934.56 |
| V2020 |
Frames, purchases |
52 |
52 |
$817.00 |
| 92015 |
Determination of refractive state |
28 |
28 |
$93.00 |