| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
4,812 |
4,765 |
$218K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
3,308 |
3,267 |
$155K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,476 |
1,447 |
$57K |
| 92002 |
|
1,135 |
1,107 |
$48K |
| 92310 |
|
1,167 |
1,149 |
$40K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
682 |
669 |
$32K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
726 |
707 |
$27K |
| 3072F |
|
2,206 |
2,159 |
$80.00 |
| 92015 |
Determination of refractive state |
309 |
308 |
$0.00 |