| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
3,934 |
3,914 |
$178K |
| V2020 |
Frames, purchases |
6,293 |
6,219 |
$125K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,040 |
4,959 |
$101K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,394 |
1,393 |
$63K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
792 |
787 |
$29K |
| 92225 |
|
411 |
401 |
$24K |
| 92341 |
|
762 |
762 |
$21K |
| 92201 |
|
429 |
429 |
$10K |
| 92015 |
Determination of refractive state |
364 |
364 |
$3K |
| 92202 |
|
123 |
123 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
306 |
302 |
$858.81 |
| 92134 |
|
29 |
29 |
$0.00 |