| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
237 |
215 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
575 |
517 |
$9K |
| 92015 |
Determination of refractive state |
785 |
704 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
17 |
15 |
$782.60 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
36 |
28 |
$740.40 |