| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,429 |
2,350 |
$117K |
| 92015 |
Determination of refractive state |
3,007 |
2,714 |
$80K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,574 |
1,431 |
$72K |
| 92250 |
|
1,217 |
1,099 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
447 |
406 |
$29K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
154 |
150 |
$9K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
149 |
143 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
173 |
163 |
$6K |
| 92002 |
|
14 |
14 |
$661.78 |