| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,194 |
3,053 |
$150K |
| 92015 |
Determination of refractive state |
3,514 |
3,316 |
$108K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,831 |
1,774 |
$103K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,625 |
1,490 |
$101K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,120 |
1,089 |
$58K |
| 92370 |
|
637 |
614 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
149 |
145 |
$6K |
| 92250 |
|
31 |
31 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$980.70 |