| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,433 |
4,156 |
$134K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,081 |
2,915 |
$94K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,145 |
1,119 |
$51K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
705 |
680 |
$31K |
| 92015 |
Determination of refractive state |
682 |
663 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
187 |
186 |
$12K |
| 92002 |
|
115 |
115 |
$7K |
| 3072F |
|
948 |
921 |
$0.00 |