| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,044 |
1,002 |
$113K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
831 |
803 |
$80K |
| 92015 |
Determination of refractive state |
2,010 |
1,921 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
119 |
110 |
$8K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
18 |
15 |
$68.70 |