| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92002 |
|
332 |
324 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
473 |
464 |
$6K |
| 92015 |
Determination of refractive state |
378 |
366 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
678 |
678 |
$217.40 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
66 |
66 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
430 |
430 |
$0.00 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
18 |
18 |
$0.00 |