| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
694 |
667 |
$32K |
| 92015 |
Determination of refractive state |
1,002 |
947 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
601 |
575 |
$18K |
| V2020 |
Frames, purchases |
349 |
338 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
54 |
50 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$851.05 |
| 3072F |
|
14 |
12 |
$0.00 |