| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
12,324 |
10,761 |
$689K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,776 |
5,915 |
$672K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,893 |
5,214 |
$523K |
| 92081 |
|
12,170 |
10,628 |
$293K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
6,294 |
6,220 |
$264K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
4,808 |
4,761 |
$204K |
| 92285 |
|
2,011 |
1,760 |
$29K |
| 92015 |
Determination of refractive state |
794 |
765 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
40 |
$4K |