| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
246 |
244 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
512 |
508 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
93 |
92 |
$9K |
| 92015 |
Determination of refractive state |
1,188 |
1,184 |
$2K |
| V2020 |
Frames, purchases |
143 |
142 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$0.00 |