| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
602 |
532 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
219 |
180 |
$9K |
| 92015 |
Determination of refractive state |
1,022 |
892 |
$5K |
| V2020 |
Frames, purchases |
146 |
111 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
482 |
461 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
22 |
12 |
$242.00 |