| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
335 |
333 |
$14K |
| 92015 |
Determination of refractive state |
428 |
354 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
132 |
122 |
$6K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
41 |
40 |
$2K |
| 92310 |
|
12 |
12 |
$500.00 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
12 |
12 |
$464.50 |