| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
773 |
709 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
134 |
117 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
142 |
128 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
191 |
169 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
18 |
15 |
$2K |