| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,073 |
5,908 |
$286K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
3,499 |
3,402 |
$195K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
2,085 |
2,039 |
$116K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,259 |
1,198 |
$65K |
| 92015 |
Determination of refractive state |
1,632 |
1,566 |
$49K |
| 92370 |
|
297 |
289 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
132 |
126 |
$9K |
| 92250 |
|
121 |
110 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
57 |
50 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$659.71 |
| V2020 |
Frames, purchases |
26 |
25 |
$500.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$363.93 |