| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,112 |
1,083 |
$52K |
| 92015 |
Determination of refractive state |
1,219 |
1,193 |
$21K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
376 |
376 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
240 |
234 |
$11K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
12 |
12 |
$600.00 |
| 3072F |
|
31 |
31 |
$10.00 |