| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,210 |
2,055 |
$123K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
837 |
778 |
$64K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,493 |
2,312 |
$40K |
| 92015 |
Determination of refractive state |
3,296 |
3,040 |
$25K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
15 |
12 |
$308.00 |
| 92341 |
|
15 |
13 |
$234.00 |