| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0117 |
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
55 |
55 |
$0.00 |
| 2022F |
|
46 |
46 |
$0.00 |
| 92015 |
Determination of refractive state |
54 |
54 |
$0.00 |
| V2020 |
Frames, purchases |
37 |
37 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
38 |
38 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15 |
15 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
30 |
30 |
$0.00 |
| V2756 |
Eye glass case |
40 |
40 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
13 |
$0.00 |
| 92342 |
|
40 |
40 |
$0.00 |
| 3072F |
|
26 |
26 |
$0.00 |