| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,409 |
3,334 |
$167K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,625 |
1,597 |
$93K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,256 |
1,237 |
$72K |
| 92015 |
Determination of refractive state |
1,336 |
1,289 |
$38K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
573 |
554 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
73 |
72 |
$5K |
| S0512 |
Daily wear specialty contact lens, per lens |
12 |
12 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
83 |
80 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
37 |
$2K |