| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,613 |
5,527 |
$83K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,465 |
5,407 |
$57K |
| 92015 |
Determination of refractive state |
3,082 |
2,975 |
$11K |
| 2022F |
|
173 |
167 |
$0.00 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
130 |
130 |
$0.00 |
| 3072F |
|
1,177 |
1,093 |
$0.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
151 |
151 |
$0.00 |
| 2023F |
|
14 |
14 |
$0.00 |