| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,828 |
1,825 |
$65K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,356 |
1,352 |
$48K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,464 |
1,460 |
$28K |
| V2020 |
Frames, purchases |
1,444 |
1,443 |
$28K |
| 92015 |
Determination of refractive state |
3,136 |
3,128 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
576 |
515 |
$12K |
| 92002 |
|
13 |
13 |
$383.76 |