| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
570 |
509 |
$32K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
164 |
142 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
158 |
126 |
$4K |
| 92015 |
Determination of refractive state |
301 |
213 |
$760.37 |
| 92341 |
|
41 |
41 |
$656.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13 |
13 |
$187.20 |