| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
2,141 |
2,125 |
$96K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,811 |
1,794 |
$87K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
806 |
797 |
$39K |
| 92002 |
|
477 |
455 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
376 |
365 |
$19K |
| 92015 |
Determination of refractive state |
791 |
782 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
25 |
25 |
$1K |
| 92310 |
|
14 |
14 |
$645.00 |