| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
560 |
547 |
$29K |
| 92015 |
Determination of refractive state |
1,461 |
1,437 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
52 |
52 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
38 |
38 |
$570.00 |
| V2020 |
Frames, purchases |
41 |
41 |
$526.30 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
147 |
79 |
$156.00 |