| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,913 |
1,910 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,414 |
1,407 |
$29K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
316 |
316 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
316 |
315 |
$11K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
232 |
232 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
248 |
248 |
$9K |
| 92015 |
Determination of refractive state |
1,200 |
1,197 |
$9K |
| 92341 |
|
93 |
93 |
$3K |
| 92250 |
|
14 |
14 |
$506.17 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$414.27 |