| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,621 |
1,610 |
$68K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,248 |
1,237 |
$54K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
523 |
519 |
$28K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
47 |
47 |
$2K |
| 92015 |
Determination of refractive state |
88 |
88 |
$2K |
| 2022F |
|
97 |
97 |
$0.00 |
| 3072F |
|
146 |
146 |
$0.00 |