| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
205 |
202 |
$8K |
| 92015 |
Determination of refractive state |
397 |
387 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
96 |
93 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
155 |
141 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$464.50 |