| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,751 |
1,745 |
$122K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,379 |
3,366 |
$68K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
628 |
627 |
$48K |
| 92015 |
Determination of refractive state |
3,304 |
3,297 |
$37K |
| 92002 |
|
317 |
317 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
298 |
298 |
$14K |
| 92341 |
|
210 |
208 |
$5K |