| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,413 |
1,220 |
$106K |
| 92015 |
Determination of refractive state |
2,856 |
2,409 |
$55K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
383 |
362 |
$42K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,021 |
1,720 |
$37K |
| V2020 |
Frames, purchases |
1,177 |
1,051 |
$31K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
676 |
615 |
$15K |
| 2033F |
|
73 |
70 |
$0.00 |