| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
353 |
334 |
$15K |
| 92015 |
Determination of refractive state |
452 |
422 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
219 |
197 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
50 |
$4K |
| S0512 |
Daily wear specialty contact lens, per lens |
12 |
12 |
$4K |
| S0592 |
Comprehensive contact lens evaluation |
12 |
12 |
$732.00 |
| 92250 |
|
14 |
13 |
$526.13 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
12 |
$429.55 |