| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
653 |
642 |
$26K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
226 |
226 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
125 |
125 |
$5K |
| 92002 |
|
87 |
85 |
$3K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
72 |
72 |
$3K |
| S0592 |
Comprehensive contact lens evaluation |
65 |
65 |
$2K |