| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
918 |
882 |
$18K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
294 |
289 |
$13K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
116 |
115 |
$6K |
| 92341 |
|
140 |
136 |
$3K |
| 92015 |
Determination of refractive state |
569 |
559 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
20 |
19 |
$501.00 |
| 2026F |
|
269 |
268 |
$0.00 |
| V2020 |
Frames, purchases |
42 |
42 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
26 |
26 |
$0.00 |