| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,410 |
2,183 |
$97K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,274 |
1,996 |
$92K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
661 |
656 |
$23K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
326 |
320 |
$12K |
| 92002 |
|
215 |
183 |
$7K |
| 92015 |
Determination of refractive state |
5,105 |
4,540 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
45 |
23 |
$1K |