| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
990 |
903 |
$64K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
737 |
552 |
$52K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,263 |
1,818 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
217 |
202 |
$16K |
| 92370 |
|
2,282 |
1,826 |
$14K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
373 |
211 |
$13K |
| 92250 |
|
162 |
150 |
$5K |
| 92015 |
Determination of refractive state |
62 |
38 |
$816.88 |