| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,769 |
1,697 |
$149K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,997 |
1,888 |
$124K |
| 92015 |
Determination of refractive state |
3,470 |
3,252 |
$12K |
| V2020 |
Frames, purchases |
276 |
168 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
127 |
94 |
$930.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
54 |
16 |
$337.20 |
| 2023F |
|
90 |
79 |
$0.00 |