| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
494 |
478 |
$21K |
| 92015 |
Determination of refractive state |
935 |
909 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
551 |
533 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
145 |
144 |
$7K |
| 92341 |
|
82 |
80 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
13 |
$323.44 |
| V2020 |
Frames, purchases |
16 |
16 |
$264.00 |