| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,118 |
1,068 |
$132K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
549 |
531 |
$80K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,036 |
984 |
$63K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,068 |
1,013 |
$60K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
504 |
474 |
$42K |
| 92015 |
Determination of refractive state |
2,264 |
2,130 |
$27K |