| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
394 |
366 |
$22K |
| 92250 |
|
607 |
426 |
$18K |
| 92015 |
Determination of refractive state |
631 |
552 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
161 |
146 |
$4K |
| V2020 |
Frames, purchases |
83 |
76 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$984.83 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
53 |
24 |
$550.94 |