| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,416 |
8,671 |
$435K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,850 |
8,006 |
$391K |
| 92015 |
Determination of refractive state |
16,406 |
15,168 |
$276K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
30 |
30 |
$1K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
14 |
13 |
$630.00 |
| 92310 |
|
13 |
13 |
$455.00 |