| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
848 |
795 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
469 |
445 |
$20K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
255 |
236 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
48 |
47 |
$4K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
84 |
84 |
$3K |
| 92015 |
Determination of refractive state |
306 |
285 |
$3K |
| 92133 |
|
12 |
12 |
$100.17 |