| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
663 |
470 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
233 |
182 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
177 |
128 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
97 |
58 |
$4K |
| 92025 |
|
82 |
27 |
$1K |
| 92250 |
|
21 |
13 |
$932.40 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15 |
12 |
$521.84 |