| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,914 |
1,903 |
$173K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
934 |
926 |
$87K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
780 |
776 |
$51K |
| 92250 |
|
522 |
510 |
$5K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
26 |
26 |
$1K |
| 92015 |
Determination of refractive state |
14 |
12 |
$0.00 |