| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,651 |
1,606 |
$80K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
730 |
715 |
$36K |
| 92015 |
Determination of refractive state |
1,151 |
1,120 |
$35K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
523 |
519 |
$31K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
58 |
57 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
33 |
32 |
$1K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
13 |
13 |
$782.99 |
| 92250 |
|
13 |
13 |
$174.12 |