| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
364 |
344 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
210 |
201 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
868 |
842 |
$6K |
| 92015 |
Determination of refractive state |
1,081 |
1,012 |
$5K |
| 92002 |
|
146 |
143 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
110 |
108 |
$3K |
| V2020 |
Frames, purchases |
16 |
12 |
$247.20 |