| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,697 |
1,675 |
$98K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,684 |
1,648 |
$83K |
| 92250 |
|
562 |
504 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
19 |
19 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
31 |
28 |
$739.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15 |
14 |
$374.99 |