| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,183 |
2,109 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
915 |
888 |
$35K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,790 |
1,733 |
$30K |
| 92341 |
|
307 |
306 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
699 |
694 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
87 |
87 |
$3K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
26 |
26 |
$1K |