| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,174 |
1,121 |
$39K |
| 92015 |
Determination of refractive state |
2,095 |
1,997 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
447 |
421 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
342 |
323 |
$7K |
| 92341 |
|
124 |
124 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
64 |
64 |
$2K |
| V2020 |
Frames, purchases |
146 |
146 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
32 |
29 |
$506.94 |