| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
650 |
597 |
$69K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
469 |
429 |
$43K |
| 92081 |
|
1,276 |
1,189 |
$33K |
| 92015 |
Determination of refractive state |
1,618 |
1,558 |
$24K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
297 |
292 |
$16K |
| 92002 |
|
172 |
170 |
$11K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
131 |
131 |
$8K |
| 92201 |
|
396 |
379 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
70 |
69 |
$5K |