| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
245 |
212 |
$11K |
| 92015 |
Determination of refractive state |
387 |
339 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
92 |
84 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
115 |
99 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16 |
16 |
$720.00 |