| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,125 |
1,125 |
$21K |
| V2020 |
Frames, purchases |
1,765 |
1,732 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,356 |
1,323 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
424 |
424 |
$8K |
| 92015 |
Determination of refractive state |
1,862 |
1,862 |
$7K |
| 92341 |
|
217 |
217 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
103 |
103 |
$2K |