| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
626 |
395 |
$24K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
441 |
410 |
$21K |
| 92060 |
|
813 |
503 |
$17K |
| 92250 |
|
707 |
419 |
$13K |
| 92015 |
Determination of refractive state |
624 |
395 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
543 |
368 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
334 |
204 |
$9K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
98 |
96 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
36 |
$1K |