| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,510 |
1,508 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,343 |
1,343 |
$27K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
475 |
474 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
199 |
197 |
$7K |
| 92015 |
Determination of refractive state |
602 |
600 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
110 |
110 |
$4K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
41 |
41 |
$2K |