| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,668 |
5,612 |
$283K |
| 92015 |
Determination of refractive state |
4,883 |
4,832 |
$161K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,788 |
1,769 |
$126K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,196 |
2,179 |
$116K |
| 92370 |
|
900 |
896 |
$30K |
| 92250 |
|
475 |
471 |
$19K |
| S0512 |
Daily wear specialty contact lens, per lens |
53 |
50 |
$14K |
| 92081 |
|
327 |
322 |
$10K |
| 92133 |
|
74 |
70 |
$4K |
| S0592 |
Comprehensive contact lens evaluation |
54 |
51 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
54 |
$2K |
| 92020 |
|
38 |
36 |
$851.84 |