| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,668 |
1,622 |
$94K |
| 92015 |
Determination of refractive state |
1,228 |
1,220 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
916 |
911 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
166 |
160 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
175 |
165 |
$5K |
| 92133 |
|
82 |
79 |
$899.95 |
| 92250 |
|
54 |
54 |
$757.60 |
| 92083 |
|
12 |
12 |
$215.64 |