| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92002 |
|
385 |
383 |
$17K |
| 92015 |
Determination of refractive state |
1,317 |
1,299 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
256 |
253 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
603 |
590 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
78 |
78 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
96 |
$5K |
| 92341 |
|
26 |
26 |
$587.08 |