| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,385 |
5,233 |
$248K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
3,955 |
3,836 |
$219K |
| S0512 |
Daily wear specialty contact lens, per lens |
49 |
45 |
$12K |
| 92015 |
Determination of refractive state |
206 |
200 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
71 |
69 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
45 |
45 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
35 |
35 |
$2K |
| S0592 |
Comprehensive contact lens evaluation |
37 |
34 |
$2K |