| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
623 |
615 |
$45K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
506 |
505 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
432 |
389 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
268 |
262 |
$12K |
| 92015 |
Determination of refractive state |
939 |
861 |
$0.00 |