| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
487 |
373 |
$22K |
| 92015 |
Determination of refractive state |
1,122 |
860 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
681 |
525 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
364 |
264 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
27 |
27 |
$1K |
| V2025 |
Deluxe frame |
14 |
12 |
$544.80 |