| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
932 |
919 |
$32K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
560 |
547 |
$30K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
420 |
420 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
557 |
550 |
$19K |
| 92015 |
Determination of refractive state |
185 |
185 |
$3K |