| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,800 |
1,623 |
$48K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
362 |
315 |
$14K |
| V2020 |
Frames, purchases |
370 |
367 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
126 |
121 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
235 |
233 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
17 |
17 |
$509.12 |