| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,683 |
1,628 |
$76K |
| 92015 |
Determination of refractive state |
1,511 |
1,455 |
$24K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
398 |
396 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
140 |
139 |
$6K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
82 |
82 |
$4K |
| 3072F |
|
114 |
113 |
$0.00 |