| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
102 |
101 |
$10K |
| 92015 |
Determination of refractive state |
480 |
472 |
$8K |
| 92065 |
|
130 |
90 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
56 |
56 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
172 |
117 |
$3K |
| V2020 |
Frames, purchases |
33 |
32 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
28 |
27 |
$863.58 |