| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,847 |
4,551 |
$219K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,059 |
3,833 |
$175K |
| 92015 |
Determination of refractive state |
7,041 |
6,591 |
$114K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
80 |
80 |
$4K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
52 |
52 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
100 |
$259.44 |