| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,310 |
1,084 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
570 |
408 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
415 |
318 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
288 |
245 |
$10K |
| 92341 |
|
97 |
95 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
55 |
41 |
$818.80 |