| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,632 |
1,482 |
$84K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
839 |
748 |
$62K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
596 |
466 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
453 |
452 |
$8K |
| 92015 |
Determination of refractive state |
2,995 |
2,631 |
$2K |
| 92133 |
|
56 |
43 |
$443.94 |
| 92083 |
|
12 |
12 |
$263.50 |