| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
825 |
805 |
$72K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,080 |
1,052 |
$70K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,011 |
992 |
$68K |
| 92015 |
Determination of refractive state |
2,025 |
1,935 |
$16K |
| 92370 |
|
59 |
59 |
$2K |
| 92341 |
|
21 |
20 |
$1K |
| 1036F |
|
755 |
725 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
34 |
33 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
229 |
226 |
$0.00 |