| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
116 |
116 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
92 |
92 |
$7K |
| 92015 |
Determination of refractive state |
532 |
530 |
$6K |
| V2020 |
Frames, purchases |
141 |
140 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
148 |
138 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
90 |
55 |
$478.33 |
| 92250 |
|
12 |
12 |
$224.63 |