| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
653 |
638 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
624 |
619 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
228 |
227 |
$10K |
| 92015 |
Determination of refractive state |
118 |
115 |
$2K |
| 92341 |
|
81 |
79 |
$2K |
| V2020 |
Frames, purchases |
73 |
73 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15 |
15 |
$373.20 |