| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
311 |
311 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
200 |
199 |
$7K |
| V2020 |
Frames, purchases |
289 |
289 |
$5K |
| 92015 |
Determination of refractive state |
591 |
591 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
243 |
243 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
67 |
67 |
$1K |