| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,289 |
3,234 |
$217K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,496 |
1,446 |
$123K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,836 |
4,706 |
$85K |
| 92015 |
Determination of refractive state |
5,631 |
5,510 |
$49K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
250 |
250 |
$6K |
| V2020 |
Frames, purchases |
40 |
40 |
$3K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
13 |
13 |
$475.00 |