| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,195 |
2,195 |
$15K |
| V2020 |
Frames, purchases |
3,116 |
3,114 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,778 |
2,776 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,573 |
1,573 |
$9K |
| 92285 |
|
163 |
88 |
$6K |
| 92015 |
Determination of refractive state |
3,782 |
3,782 |
$5K |
| 92341 |
|
182 |
182 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
34 |
28 |
$243.96 |