| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
2,322 |
2,221 |
$60K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,048 |
3,011 |
$51K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
808 |
761 |
$19K |
| 92286 |
|
2,035 |
1,926 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
792 |
785 |
$17K |
| 92015 |
Determination of refractive state |
1,328 |
1,319 |
$4K |
| 92225 |
|
14 |
13 |
$629.12 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
79 |
79 |
$0.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
61 |
61 |
$0.00 |