| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
254 |
241 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
145 |
131 |
$8K |
| V2020 |
Frames, purchases |
156 |
148 |
$3K |
| 92015 |
Determination of refractive state |
892 |
818 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
87 |
56 |
$401.82 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
85 |
80 |
$307.05 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
64 |
51 |
$0.00 |