| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,390 |
2,190 |
$98K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,466 |
1,371 |
$93K |
| 92015 |
Determination of refractive state |
1,644 |
1,535 |
$48K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
559 |
493 |
$25K |
| S0512 |
Daily wear specialty contact lens, per lens |
29 |
26 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
31 |
$3K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
43 |
39 |
$2K |
| S0592 |
Comprehensive contact lens evaluation |
48 |
25 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15 |
15 |
$774.76 |