| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
437 |
423 |
$40K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
451 |
440 |
$12K |
| 92015 |
Determination of refractive state |
457 |
445 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
14 |
$2K |
| V2020 |
Frames, purchases |
323 |
316 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
68 |
38 |
$0.00 |