| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,801 |
2,587 |
$123K |
| 92015 |
Determination of refractive state |
3,902 |
3,625 |
$116K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,322 |
2,187 |
$112K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,269 |
1,145 |
$77K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
59 |
54 |
$3K |
| 92370 |
|
88 |
76 |
$2K |
| S0592 |
Comprehensive contact lens evaluation |
13 |
12 |
$610.00 |