| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,607 |
1,603 |
$33K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
757 |
755 |
$33K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
584 |
583 |
$29K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
458 |
458 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
253 |
252 |
$21K |
| 92015 |
Determination of refractive state |
1,282 |
1,280 |
$14K |
| 92341 |
|
391 |
389 |
$9K |
| V2020 |
Frames, purchases |
64 |
64 |
$2K |
| 92250 |
|
41 |
41 |
$694.36 |