| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,367 |
1,343 |
$51K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
984 |
972 |
$45K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
318 |
318 |
$11K |
| 92015 |
Determination of refractive state |
727 |
727 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
96 |
96 |
$4K |