| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,909 |
2,892 |
$130K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
2,823 |
2,805 |
$127K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
917 |
894 |
$41K |
| 92310 |
|
1,114 |
1,104 |
$39K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
824 |
824 |
$33K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
731 |
718 |
$30K |
| V2799 |
Vision item or service, miscellaneous |
14 |
14 |
$280.00 |