| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
554 |
554 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
376 |
376 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
126 |
126 |
$6K |
| 92015 |
Determination of refractive state |
354 |
354 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
52 |
52 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$2K |