| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
822 |
822 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
644 |
643 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
270 |
270 |
$10K |
| 92015 |
Determination of refractive state |
791 |
791 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
109 |
109 |
$4K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
13 |
13 |
$587.08 |