| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
867 |
712 |
$39K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
694 |
548 |
$31K |
| 92015 |
Determination of refractive state |
867 |
845 |
$16K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
52 |
52 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
44 |
44 |
$2K |