| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
591 |
567 |
$28K |
| 92015 |
Determination of refractive state |
485 |
467 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137 |
127 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
45 |
$4K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
29 |
27 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
22 |
22 |
$1K |
| 92250 |
|
26 |
26 |
$1K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
15 |
15 |
$863.45 |