| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,307 |
2,287 |
$95K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,932 |
1,901 |
$75K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
800 |
795 |
$40K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
528 |
528 |
$24K |
| 92002 |
|
341 |
341 |
$17K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
305 |
304 |
$14K |
| 92015 |
Determination of refractive state |
300 |
289 |
$4K |
| 92310 |
|
50 |
47 |
$2K |