| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
793 |
793 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
823 |
822 |
$38K |
| 92015 |
Determination of refractive state |
2,423 |
2,423 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
38 |
38 |
$760.00 |
| 3072F |
|
13 |
13 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$0.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
12 |
12 |
$0.00 |
| V2020 |
Frames, purchases |
63 |
62 |
$0.00 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
97 |
96 |
$0.00 |