| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,847 |
1,795 |
$78K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,955 |
1,912 |
$57K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,156 |
1,134 |
$54K |
| 92015 |
Determination of refractive state |
2,794 |
2,750 |
$48K |
| V2020 |
Frames, purchases |
97 |
95 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
44 |
41 |
$903.65 |