| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
844 |
780 |
$35K |
| 92015 |
Determination of refractive state |
537 |
500 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
192 |
176 |
$8K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
78 |
77 |
$4K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
42 |
41 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15 |
12 |
$246.15 |