| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
170 |
153 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
117 |
107 |
$3K |
| 92015 |
Determination of refractive state |
221 |
198 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
24 |
17 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13 |
12 |
$677.70 |