| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
4,103 |
3,960 |
$186K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,798 |
1,747 |
$81K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
971 |
955 |
$41K |
| 92310 |
|
1,050 |
1,006 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
175 |
175 |
$8K |
| 92015 |
Determination of refractive state |
126 |
125 |
$589.30 |