| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,906 |
4,780 |
$316K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,507 |
1,466 |
$117K |
| 92015 |
Determination of refractive state |
6,964 |
6,788 |
$91K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,106 |
4,058 |
$72K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
161 |
152 |
$7K |
| V2020 |
Frames, purchases |
56 |
56 |
$2K |