| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,094 |
2,035 |
$98K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,626 |
1,555 |
$77K |
| 92015 |
Determination of refractive state |
1,955 |
1,881 |
$60K |
| 92250 |
|
1,575 |
1,487 |
$55K |
| 92083 |
|
1,432 |
1,360 |
$50K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
335 |
307 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
94 |
88 |
$6K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
67 |
67 |
$4K |