| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,297 |
1,283 |
$23K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
824 |
814 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
402 |
401 |
$15K |
| 92341 |
|
269 |
258 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
223 |
220 |
$4K |
| 92002 |
|
30 |
30 |
$449.33 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13 |
13 |
$364.18 |
| V2020 |
Frames, purchases |
40 |
39 |
$239.52 |