| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
816 |
760 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
331 |
317 |
$15K |
| 92015 |
Determination of refractive state |
1,574 |
1,466 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
110 |
97 |
$2K |
| V2020 |
Frames, purchases |
226 |
201 |
$704.04 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
17 |
17 |
$0.00 |