| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,097 |
936 |
$98K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,017 |
866 |
$66K |
| 92015 |
Determination of refractive state |
1,123 |
949 |
$21K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
107 |
103 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
107 |
93 |
$6K |
| 92133 |
|
144 |
129 |
$4K |
| 92134 |
|
124 |
107 |
$3K |
| 92250 |
|
135 |
110 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
19 |
$621.92 |
| 92285 |
|
12 |
12 |
$59.53 |