| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
332 |
288 |
$19K |
| 92250 |
|
362 |
314 |
$12K |
| 92083 |
|
278 |
246 |
$9K |
| 92285 |
|
361 |
314 |
$8K |
| V2020 |
Frames, purchases |
426 |
376 |
$8K |
| 92283 |
|
380 |
328 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
429 |
377 |
$6K |
| 92015 |
Determination of refractive state |
370 |
321 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
43 |
40 |
$2K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
12 |
12 |
$433.00 |