| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,723 |
2,659 |
$131K |
| 92015 |
Determination of refractive state |
2,928 |
2,854 |
$93K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,627 |
1,587 |
$84K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
946 |
914 |
$65K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
47 |
47 |
$3K |
| 92370 |
|
52 |
51 |
$2K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
23 |
23 |
$1K |