| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
69 |
68 |
$0.00 |
| V2020 |
Frames, purchases |
548 |
543 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
28 |
14 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
628 |
624 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
636 |
348 |
$0.00 |
| 92310 |
|
80 |
79 |
$0.00 |
| 92250 |
|
201 |
199 |
$0.00 |
| 92002 |
|
20 |
20 |
$0.00 |