| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,792 |
1,689 |
$198K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
918 |
884 |
$95K |
| 92015 |
Determination of refractive state |
2,807 |
2,655 |
$18K |
| 92250 |
|
586 |
547 |
$14K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
154 |
153 |
$7K |
| 92082 |
|
31 |
30 |
$1K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
13 |
13 |
$575.00 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
679 |
635 |
$0.00 |