| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
5,877 |
5,789 |
$193K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,134 |
3,059 |
$112K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,916 |
1,900 |
$94K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
746 |
739 |
$54K |
| 92002 |
|
855 |
842 |
$36K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
404 |
397 |
$21K |
| S0512 |
Daily wear specialty contact lens, per lens |
15 |
15 |
$4K |
| 92250 |
|
80 |
76 |
$2K |
| 92273 |
|
12 |
12 |
$1K |
| 92083 |
|
12 |
12 |
$252.98 |