| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,768 |
3,653 |
$88K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,555 |
1,506 |
$30K |
| 92015 |
Determination of refractive state |
2,920 |
2,882 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16 |
16 |
$586.60 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
16 |
16 |
$0.00 |