| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,356 |
1,355 |
$68K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
594 |
586 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
591 |
586 |
$24K |
| 92015 |
Determination of refractive state |
1,072 |
1,056 |
$13K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
59 |
59 |
$3K |
| 3072F |
|
805 |
805 |
$0.00 |