| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,652 |
3,435 |
$157K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,204 |
1,161 |
$63K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,327 |
1,153 |
$49K |
| 92015 |
Determination of refractive state |
1,727 |
1,525 |
$30K |
| 92250 |
|
1,142 |
978 |
$30K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
385 |
377 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
218 |
176 |
$10K |
| 92133 |
|
249 |
213 |
$9K |
| 92083 |
|
257 |
219 |
$7K |
| S0512 |
Daily wear specialty contact lens, per lens |
26 |
17 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$358.30 |
| 92020 |
|
19 |
12 |
$242.00 |