| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,591 |
1,579 |
$72K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,522 |
1,522 |
$69K |
| V2020 |
Frames, purchases |
2,186 |
2,186 |
$46K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,128 |
2,128 |
$45K |
| 92015 |
Determination of refractive state |
967 |
967 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
89 |
89 |
$3K |
| 92341 |
|
98 |
98 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
14 |
$497.00 |