| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,041 |
2,030 |
$143K |
| 92002 |
|
1,493 |
1,460 |
$63K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
598 |
595 |
$37K |
| 92015 |
Determination of refractive state |
2,150 |
2,082 |
$36K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
494 |
492 |
$26K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
512 |
496 |
$18K |