| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,096 |
2,057 |
$88K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
135 |
133 |
$9K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
129 |
129 |
$8K |
| 92015 |
Determination of refractive state |
2,314 |
2,249 |
$7K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
17 |
17 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
14 |
$905.00 |