| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,584 |
1,501 |
$101K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
579 |
563 |
$45K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,196 |
2,165 |
$41K |
| 92015 |
Determination of refractive state |
2,361 |
2,256 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16 |
13 |
$497.75 |