| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,578 |
1,577 |
$71K |
| V2020 |
Frames, purchases |
2,749 |
2,749 |
$52K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
987 |
987 |
$45K |
| 92341 |
|
2,211 |
2,211 |
$30K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
453 |
451 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
557 |
557 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
168 |
168 |
$3K |
| 92015 |
Determination of refractive state |
637 |
634 |
$3K |