| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,388 |
2,281 |
$110K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,492 |
1,417 |
$66K |
| 92015 |
Determination of refractive state |
3,804 |
3,640 |
$64K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
39 |
37 |
$2K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
31 |
31 |
$1K |