| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,220 |
1,214 |
$84K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
957 |
952 |
$84K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
649 |
646 |
$42K |
| 92015 |
Determination of refractive state |
1,413 |
1,408 |
$21K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
371 |
369 |
$21K |