| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
9,691 |
9,666 |
$114K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,321 |
4,320 |
$93K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,982 |
6,957 |
$84K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,466 |
2,465 |
$59K |
| 92341 |
|
2,624 |
2,624 |
$45K |
| 92015 |
Determination of refractive state |
7,101 |
7,099 |
$32K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
38 |
38 |
$772.54 |