| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,821 |
2,759 |
$139K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,260 |
1,221 |
$59K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,129 |
1,112 |
$20K |
| 92015 |
Determination of refractive state |
4,222 |
4,187 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
24 |
24 |
$945.20 |
| 92250 |
|
18 |
17 |
$160.00 |
| 3072F |
|
19 |
19 |
$0.00 |