| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,829 |
2,824 |
$96K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,646 |
1,642 |
$56K |
| V2020 |
Frames, purchases |
2,760 |
2,758 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,481 |
2,477 |
$48K |
| 92015 |
Determination of refractive state |
4,542 |
4,535 |
$40K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
593 |
556 |
$12K |
| 92341 |
|
37 |
37 |
$890.08 |
| 92285 |
|
14 |
14 |
$761.60 |
| 92250 |
|
14 |
14 |
$446.46 |
| 92083 |
|
14 |
14 |
$261.29 |