| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
717 |
684 |
$33K |
| 92015 |
Determination of refractive state |
561 |
531 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
319 |
303 |
$15K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
205 |
202 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
92 |
82 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16 |
13 |
$933.74 |