| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
46 |
46 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
39 |
38 |
$4K |
| 92250 |
|
70 |
70 |
$4K |
| V2020 |
Frames, purchases |
42 |
41 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$788.51 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
31 |
29 |
$743.96 |
| 92025 |
|
20 |
20 |
$379.44 |