| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
8,721 |
8,624 |
$362K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,009 |
1,895 |
$176K |
| 92250 |
|
2,572 |
2,402 |
$116K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,913 |
1,899 |
$78K |
| 92081 |
|
2,447 |
2,283 |
$49K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
451 |
403 |
$31K |
| 92015 |
Determination of refractive state |
2,631 |
2,461 |
$30K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
168 |
168 |
$6K |
| 92020 |
|
12 |
12 |
$35.08 |
| 3072F |
|
20 |
12 |
$0.00 |