| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,440 |
1,440 |
$30K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,708 |
1,706 |
$28K |
| V2020 |
Frames, purchases |
2,546 |
2,544 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,266 |
2,266 |
$18K |
| 92015 |
Determination of refractive state |
3,551 |
3,549 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,239 |
1,051 |
$13K |
| 92341 |
|
114 |
114 |
$2K |