| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
246 |
241 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
235 |
228 |
$9K |
| V2020 |
Frames, purchases |
287 |
278 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
286 |
277 |
$6K |
| 92015 |
Determination of refractive state |
533 |
516 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
24 |
24 |
$536.64 |