| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
186 |
186 |
$16K |
| 92015 |
Determination of refractive state |
1,051 |
1,042 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
790 |
784 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
70 |
70 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
26 |
26 |
$1K |
| 92002 |
|
24 |
24 |
$1K |