| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,016 |
4,649 |
$228K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,509 |
4,228 |
$199K |
| 92015 |
Determination of refractive state |
6,085 |
5,625 |
$98K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
15 |
15 |
$675.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
13 |
13 |
$585.00 |
| 3072F |
|
18 |
17 |
$0.00 |