| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 68761 |
|
357 |
178 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
301 |
299 |
$25K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
348 |
311 |
$20K |
| 92015 |
Determination of refractive state |
800 |
797 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
102 |
102 |
$11K |
| 83861 |
|
476 |
241 |
$5K |
| 92250 |
|
39 |
38 |
$939.39 |
| A4262 |
Temporary, absorbable lacrimal duct implant, each |
50 |
50 |
$0.00 |