| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
411 |
411 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
183 |
182 |
$9K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
153 |
153 |
$8K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
124 |
124 |
$6K |
| 3072F |
|
112 |
112 |
$0.00 |
| 92015 |
Determination of refractive state |
181 |
181 |
$0.00 |