| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,488 |
6,252 |
$303K |
| 92250 |
|
6,610 |
6,371 |
$250K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,362 |
4,249 |
$220K |
| 92015 |
Determination of refractive state |
6,568 |
6,320 |
$209K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,134 |
2,057 |
$140K |
| S0512 |
Daily wear specialty contact lens, per lens |
372 |
347 |
$95K |
| S0592 |
Comprehensive contact lens evaluation |
540 |
506 |
$27K |
| 99215 |
Prolong outpt/office vis |
23 |
23 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41 |
39 |
$1K |
| 92370 |
|
31 |
30 |
$931.77 |