| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
788 |
773 |
$61K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
586 |
557 |
$54K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
92 |
90 |
$5K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
59 |
25 |
$792.56 |
| 92015 |
Determination of refractive state |
110 |
101 |
$0.00 |