| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
368 |
356 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
295 |
276 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
386 |
372 |
$3K |
| V2020 |
Frames, purchases |
415 |
401 |
$332.00 |
| 92015 |
Determination of refractive state |
520 |
481 |
$40.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
230 |
160 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
88 |
66 |
$0.00 |
| 92342 |
|
13 |
13 |
$0.00 |
| V2756 |
Eye glass case |
13 |
13 |
$0.00 |