| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
712 |
712 |
$68K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
252 |
252 |
$31K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
458 |
456 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
479 |
478 |
$13K |
| 92015 |
Determination of refractive state |
729 |
729 |
$13K |
| V2020 |
Frames, purchases |
511 |
511 |
$5K |