| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,327 |
2,224 |
$109K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,404 |
1,362 |
$75K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
714 |
693 |
$39K |
| 92015 |
Determination of refractive state |
164 |
153 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
42 |
40 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
26 |
25 |
$2K |
| 92002 |
|
22 |
22 |
$872.20 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16 |
15 |
$522.75 |