| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,068 |
2,062 |
$84K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,840 |
1,826 |
$75K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
315 |
274 |
$12K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
155 |
125 |
$5K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
159 |
125 |
$4K |
| 92015 |
Determination of refractive state |
1,897 |
1,877 |
$0.00 |