| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
465 |
458 |
$16K |
| 92015 |
Determination of refractive state |
596 |
585 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
286 |
279 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
152 |
151 |
$5K |
| V2020 |
Frames, purchases |
42 |
42 |
$1K |
| 92250 |
|
76 |
76 |
$888.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
39 |
39 |
$525.00 |