| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,215 |
2,162 |
$105K |
| 92015 |
Determination of refractive state |
1,487 |
1,448 |
$44K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
809 |
787 |
$40K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
461 |
458 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
324 |
309 |
$20K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
86 |
84 |
$5K |
| S0512 |
Daily wear specialty contact lens, per lens |
13 |
13 |
$4K |
| 92250 |
|
101 |
96 |
$3K |
| S0592 |
Comprehensive contact lens evaluation |
13 |
13 |
$763.00 |