| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,479 |
9,909 |
$494K |
| 92015 |
Determination of refractive state |
14,086 |
13,026 |
$423K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,002 |
7,565 |
$395K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,444 |
3,064 |
$221K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,504 |
1,334 |
$69K |
| 92370 |
|
769 |
750 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
235 |
218 |
$17K |
| 92250 |
|
619 |
475 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
272 |
250 |
$8K |
| S0512 |
Daily wear specialty contact lens, per lens |
12 |
12 |
$4K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
23 |
21 |
$1K |
| S0592 |
Comprehensive contact lens evaluation |
12 |
12 |
$732.00 |
| 92134 |
|
13 |
13 |
$323.02 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$262.15 |
| 92083 |
|
15 |
13 |
$243.41 |