| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
15,277 |
13,964 |
$447K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,615 |
5,607 |
$281K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,681 |
3,680 |
$256K |
| 92015 |
Determination of refractive state |
8,696 |
8,683 |
$113K |
| 92341 |
|
637 |
632 |
$23K |
| 92250 |
|
545 |
542 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
29 |
25 |
$745.38 |