| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
4,362 |
3,477 |
$298K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
3,497 |
2,680 |
$272K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,869 |
7,948 |
$158K |
| 92342 |
|
7,250 |
6,638 |
$89K |
| 92370 |
|
11,662 |
9,255 |
$69K |
| 92341 |
|
1,522 |
1,187 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
269 |
217 |
$15K |
| 92015 |
Determination of refractive state |
500 |
429 |
$8K |
| V2799 |
Vision item or service, miscellaneous |
752 |
366 |
$5K |
| 92250 |
|
62 |
52 |
$1K |
| 76514 |
|
16 |
12 |
$29.40 |
| 92286 |
|
13 |
12 |
$0.00 |