| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
3,580 |
3,170 |
$100K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,207 |
1,985 |
$89K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,602 |
1,485 |
$65K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,103 |
1,070 |
$43K |
| 92250 |
|
611 |
579 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16 |
16 |
$777.01 |