| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,968 |
2,945 |
$177K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
672 |
670 |
$47K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
713 |
712 |
$35K |
| 92015 |
Determination of refractive state |
1,834 |
1,827 |
$27K |
| 92002 |
|
259 |
258 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
82 |
82 |
$9K |
| 92083 |
|
98 |
98 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
37 |
37 |
$4K |
| 92020 |
|
13 |
13 |
$294.41 |