| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,193 |
2,037 |
$199K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,271 |
1,179 |
$131K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,716 |
2,691 |
$115K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
2,153 |
2,119 |
$89K |
| 92015 |
Determination of refractive state |
3,515 |
3,273 |
$51K |
| 92250 |
|
192 |
192 |
$13K |