| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
333 |
320 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
83 |
81 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
393 |
376 |
$2K |
| V2020 |
Frames, purchases |
373 |
363 |
$224.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
297 |
271 |
$47.50 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15 |
14 |
$0.00 |
| 92015 |
Determination of refractive state |
493 |
478 |
$0.00 |