| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,415 |
2,397 |
$134K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,600 |
1,582 |
$108K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
734 |
724 |
$11K |
| 92015 |
Determination of refractive state |
4,796 |
4,750 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
17 |
15 |
$459.05 |
| 92250 |
|
13 |
13 |
$254.60 |
| 1036F |
|
13 |
13 |
$0.00 |