| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,463 |
1,414 |
$81K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
923 |
891 |
$50K |
| 92015 |
Determination of refractive state |
2,579 |
2,495 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
33 |
24 |
$1K |
| 2022F |
|
742 |
730 |
$125.02 |
| V2020 |
Frames, purchases |
27 |
27 |
$21.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
28 |
25 |
$0.00 |