| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
880 |
854 |
$67K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
534 |
496 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
194 |
188 |
$19K |
| 92015 |
Determination of refractive state |
631 |
606 |
$9K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |