| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,814 |
2,564 |
$133K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,127 |
1,899 |
$100K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
539 |
539 |
$27K |
| 92015 |
Determination of refractive state |
5,018 |
4,536 |
$3K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
42 |
42 |
$2K |