| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,020 |
987 |
$46K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
557 |
537 |
$30K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
542 |
527 |
$29K |
| 92015 |
Determination of refractive state |
118 |
105 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
43 |
41 |
$735.30 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$366.88 |