| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
307 |
299 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
292 |
286 |
$13K |
| V2020 |
Frames, purchases |
272 |
267 |
$6K |
| 92015 |
Determination of refractive state |
725 |
711 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
248 |
243 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
249 |
244 |
$973.95 |
| 2020F |
|
186 |
179 |
$0.00 |
| 1160F |
|
189 |
178 |
$0.00 |
| 1159F |
|
189 |
178 |
$0.00 |