| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,844 |
1,808 |
$119K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,092 |
2,078 |
$89K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,331 |
1,327 |
$56K |
| 92015 |
Determination of refractive state |
7,463 |
7,333 |
$52K |
| 92002 |
|
493 |
488 |
$32K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
65 |
65 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
35 |
35 |
$4K |
| 92250 |
|
15 |
15 |
$700.00 |