| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
452 |
444 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
138 |
133 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
87 |
83 |
$7K |
| 92341 |
|
12 |
12 |
$748.00 |
| 92015 |
Determination of refractive state |
79 |
76 |
$40.44 |
| 1036F |
|
41 |
38 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14 |
13 |
$0.00 |
| V2020 |
Frames, purchases |
29 |
28 |
$0.00 |