| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
776 |
763 |
$51K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,927 |
1,895 |
$31K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
290 |
283 |
$22K |
| 92015 |
Determination of refractive state |
1,498 |
1,472 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
49 |
28 |
$1K |