| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,835 |
1,766 |
$85K |
| 92015 |
Determination of refractive state |
2,116 |
2,047 |
$65K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,268 |
1,225 |
$62K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
338 |
322 |
$22K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
34 |
33 |
$2K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
12 |
12 |
$712.76 |