| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,274 |
1,113 |
$93K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
391 |
325 |
$36K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,187 |
1,166 |
$18K |
| 92370 |
|
378 |
376 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
69 |
54 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
30 |
26 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$1K |
| 92341 |
|
15 |
15 |
$306.30 |