| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,687 |
1,614 |
$132K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,287 |
1,234 |
$121K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,342 |
2,278 |
$69K |
| 92370 |
|
2,800 |
2,692 |
$21K |
| 92250 |
|
267 |
247 |
$6K |
| 92341 |
|
143 |
142 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
96 |
89 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
48 |
44 |
$2K |