| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,205 |
1,190 |
$53K |
| 92015 |
Determination of refractive state |
1,245 |
1,233 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
168 |
167 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
65 |
65 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
37 |
29 |
$2K |