| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,507 |
1,486 |
$56K |
| 92250 |
|
731 |
690 |
$27K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
226 |
220 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
248 |
244 |
$8K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
57 |
57 |
$3K |
| 3072F |
|
134 |
133 |
$0.00 |
| 92015 |
Determination of refractive state |
19 |
19 |
$0.00 |