| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,092 |
1,074 |
$21K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
314 |
306 |
$15K |
| 92250 |
|
969 |
958 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
140 |
140 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
175 |
174 |
$4K |
| V2020 |
Frames, purchases |
198 |
197 |
$4K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
69 |
68 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
57 |
57 |
$3K |
| 92015 |
Determination of refractive state |
429 |
422 |
$1K |