| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,734 |
1,671 |
$94K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,307 |
2,124 |
$84K |
| 92015 |
Determination of refractive state |
2,164 |
2,061 |
$66K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,061 |
976 |
$55K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
235 |
228 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
255 |
197 |
$6K |