| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,045 |
1,043 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
683 |
681 |
$10K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
143 |
143 |
$6K |
| 92015 |
Determination of refractive state |
682 |
681 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
78 |
78 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
70 |
70 |
$2K |
| 92341 |
|
61 |
61 |
$1K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
16 |
14 |
$722.56 |