| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,122 |
7,470 |
$368K |
| 92015 |
Determination of refractive state |
11,948 |
11,151 |
$203K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,389 |
4,057 |
$193K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
179 |
179 |
$8K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
126 |
125 |
$6K |
| 92310 |
|
16 |
16 |
$755.00 |