| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,289 |
3,048 |
$140K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,967 |
1,858 |
$103K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,130 |
1,036 |
$57K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
625 |
584 |
$17K |
| S0512 |
Daily wear specialty contact lens, per lens |
28 |
24 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
72 |
66 |
$3K |
| 92370 |
|
89 |
78 |
$2K |
| S0592 |
Comprehensive contact lens evaluation |
28 |
24 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34 |
30 |
$580.44 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
28 |
$426.68 |
| 92015 |
Determination of refractive state |
72 |
59 |
$363.41 |