| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,682 |
2,681 |
$155K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
2,264 |
2,264 |
$131K |
| V2020 |
Frames, purchases |
6,210 |
6,209 |
$110K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,595 |
4,593 |
$83K |
| 92341 |
|
1,365 |
1,365 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
729 |
729 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
519 |
519 |
$10K |
| 92015 |
Determination of refractive state |
2,338 |
2,336 |
$10K |
| 3072F |
|
12 |
12 |
$0.00 |