| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
367 |
312 |
$54K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
355 |
303 |
$50K |
| V2020 |
Frames, purchases |
774 |
665 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
432 |
357 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
671 |
591 |
$705.00 |
| 92015 |
Determination of refractive state |
1,075 |
930 |
$455.81 |