| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,873 |
4,803 |
$126K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
852 |
838 |
$72K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,508 |
1,482 |
$47K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
342 |
342 |
$30K |
| 92015 |
Determination of refractive state |
2,398 |
2,361 |
$14K |