| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,698 |
2,677 |
$200K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,942 |
1,922 |
$118K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,681 |
3,648 |
$69K |
| 92015 |
Determination of refractive state |
4,644 |
4,609 |
$49K |
| 92341 |
|
817 |
807 |
$17K |
| 92250 |
|
738 |
728 |
$12K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
12 |
12 |
$309.90 |