| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
678 |
590 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
415 |
359 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
59 |
48 |
$2K |
| 92015 |
Determination of refractive state |
1,447 |
1,267 |
$1K |
| V2020 |
Frames, purchases |
55 |
51 |
$84.20 |
| 2022F |
|
555 |
515 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
38 |
37 |
$0.00 |