| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
509 |
478 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
205 |
202 |
$14K |
| V2020 |
Frames, purchases |
314 |
277 |
$6K |
| 92015 |
Determination of refractive state |
660 |
616 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
108 |
108 |
$659.28 |
| 92228 |
|
15 |
15 |
$406.65 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
61 |
50 |
$290.61 |
| V2756 |
Eye glass case |
13 |
13 |
$12.96 |