| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
295 |
256 |
$19K |
| 92015 |
Determination of refractive state |
1,056 |
954 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
216 |
212 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
74 |
70 |
$4K |
| V2020 |
Frames, purchases |
80 |
79 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$358.16 |
| 2023F |
|
48 |
47 |
$0.00 |