| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,384 |
1,240 |
$59K |
| 92015 |
Determination of refractive state |
2,523 |
2,256 |
$43K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,320 |
1,176 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
602 |
579 |
$27K |
| 92341 |
|
32 |
30 |
$890.08 |
| V2020 |
Frames, purchases |
13 |
13 |
$518.83 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$154.32 |