| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,181 |
1,178 |
$17K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
140 |
140 |
$6K |
| 92015 |
Determination of refractive state |
450 |
450 |
$4K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
69 |
69 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
59 |
59 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
55 |
55 |
$2K |