| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
403 |
398 |
$19K |
| 92015 |
Determination of refractive state |
718 |
703 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
106 |
106 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
26 |
26 |
$2K |
| 92370 |
|
58 |
57 |
$670.32 |
| 1036F |
|
13 |
13 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
13 |
13 |
$0.00 |