| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
400 |
395 |
$36K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
427 |
421 |
$28K |
| 92002 |
|
417 |
416 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
461 |
461 |
$22K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
197 |
197 |
$14K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
137 |
137 |
$9K |