| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,586 |
1,046 |
$74K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
722 |
694 |
$33K |
| 92310 |
|
392 |
306 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
83 |
82 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
38 |
38 |
$2K |
| 92015 |
Determination of refractive state |
1,345 |
711 |
$0.00 |