| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
516 |
503 |
$20K |
| 92250 |
|
307 |
298 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
64 |
57 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
125 |
121 |
$2K |
| 92015 |
Determination of refractive state |
572 |
568 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
37 |
37 |
$2K |
| 92226 |
|
96 |
49 |
$993.69 |
| 2033F |
|
99 |
94 |
$0.00 |
| 3072F |
|
270 |
259 |
$0.00 |