| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,447 |
3,435 |
$152K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,762 |
1,758 |
$79K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,096 |
1,068 |
$34K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
479 |
472 |
$14K |
| 92015 |
Determination of refractive state |
1,054 |
1,046 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$647.22 |