| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
436 |
395 |
$20K |
| 92015 |
Determination of refractive state |
664 |
595 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
227 |
199 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
115 |
105 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
35 |
35 |
$2K |