| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
267 |
265 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
268 |
266 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
490 |
488 |
$10K |
| 92015 |
Determination of refractive state |
600 |
598 |
$7K |
| 92341 |
|
65 |
65 |
$1K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
14 |
14 |
$690.50 |
| 92250 |
|
14 |
14 |
$219.90 |