| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
236 |
235 |
$11K |
| V2020 |
Frames, purchases |
359 |
357 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
358 |
355 |
$7K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
144 |
144 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
126 |
125 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
55 |
55 |
$2K |
| 92015 |
Determination of refractive state |
262 |
262 |
$2K |
| 92250 |
|
12 |
12 |
$470.83 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$330.48 |