| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,154 |
1,107 |
$60K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
737 |
687 |
$47K |
| 92015 |
Determination of refractive state |
2,106 |
2,016 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
565 |
474 |
$16K |
| 92341 |
|
12 |
12 |
$423.84 |
| V2020 |
Frames, purchases |
82 |
81 |
$360.00 |
| 99199 |
Unlisted special service, procedure or report |
12 |
12 |
$0.00 |