| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
301 |
291 |
$18K |
| V2020 |
Frames, purchases |
228 |
225 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
380 |
374 |
$8K |
| 92015 |
Determination of refractive state |
581 |
567 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
90 |
89 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
29 |
29 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
56 |
35 |
$862.84 |
| 2023F |
|
127 |
126 |
$0.00 |