| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
7,697 |
7,522 |
$318K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
2,546 |
2,497 |
$103K |
| 92015 |
Determination of refractive state |
6,906 |
6,642 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
85 |
83 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
76 |
74 |
$3K |
| 3072F |
|
1,054 |
1,027 |
$190.00 |