| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,838 |
1,748 |
$88K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
601 |
591 |
$35K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
461 |
450 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
84 |
63 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
29 |
24 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
21 |
13 |
$352.92 |