| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
784 |
765 |
$51K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
445 |
432 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
740 |
729 |
$13K |
| 92015 |
Determination of refractive state |
122 |
122 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$734.16 |