| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
694 |
640 |
$54K |
| 92015 |
Determination of refractive state |
1,310 |
1,210 |
$44K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,303 |
1,212 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
212 |
202 |
$21K |
| V2020 |
Frames, purchases |
445 |
434 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
357 |
349 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
71 |
69 |
$4K |
| 92002 |
|
13 |
13 |
$796.28 |