| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
728 |
720 |
$29K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
367 |
366 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
367 |
359 |
$15K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
112 |
112 |
$5K |
| S0592 |
Comprehensive contact lens evaluation |
53 |
53 |
$2K |