| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
182 |
173 |
$9K |
| V2020 |
Frames, purchases |
283 |
271 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
58 |
58 |
$3K |
| 92015 |
Determination of refractive state |
330 |
319 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
218 |
209 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
221 |
212 |
$2K |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
12 |
12 |
$0.00 |