| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
282 |
250 |
$12K |
| 92015 |
Determination of refractive state |
830 |
712 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
539 |
503 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
51 |
41 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$349.45 |