| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,827 |
1,723 |
$79K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,650 |
1,550 |
$70K |
| 92015 |
Determination of refractive state |
2,471 |
2,417 |
$35K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
19 |
19 |
$855.00 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
13 |
13 |
$585.00 |