| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
870 |
830 |
$40K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
492 |
471 |
$27K |
| 92015 |
Determination of refractive state |
321 |
314 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
152 |
148 |
$9K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
95 |
91 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
17 |
16 |
$440.80 |