| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
323 |
310 |
$15K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
200 |
196 |
$11K |
| 92015 |
Determination of refractive state |
181 |
180 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
28 |
28 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$971.89 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
14 |
12 |
$692.76 |