| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,174 |
1,134 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
360 |
360 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
266 |
251 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
112 |
112 |
$3K |
| 92002 |
|
92 |
90 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
25 |
25 |
$626.42 |