| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
830 |
803 |
$39K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
453 |
441 |
$25K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
63 |
60 |
$3K |
| 92015 |
Determination of refractive state |
74 |
72 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
50 |
46 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
27 |
25 |
$1K |