| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,944 |
4,829 |
$203K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,052 |
4,936 |
$194K |
| 92015 |
Determination of refractive state |
4,985 |
4,824 |
$51K |
| 92310 |
|
886 |
857 |
$30K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
672 |
670 |
$26K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
578 |
573 |
$20K |
| 3072F |
|
29 |
29 |
$130.00 |
| 2023F |
|
28 |
28 |
$0.00 |