| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,874 |
4,659 |
$200K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
4,157 |
3,963 |
$194K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,058 |
1,041 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
257 |
224 |
$11K |
| 92015 |
Determination of refractive state |
407 |
394 |
$11K |
| 99173 |
|
500 |
489 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
148 |
117 |
$7K |
| 92250 |
|
216 |
201 |
$6K |
| S0512 |
Daily wear specialty contact lens, per lens |
16 |
16 |
$3K |
| 92370 |
|
46 |
41 |
$1K |
| S0592 |
Comprehensive contact lens evaluation |
14 |
12 |
$732.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
13 |
$511.20 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16 |
13 |
$451.72 |
| V2020 |
Frames, purchases |
12 |
12 |
$420.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$72.00 |