| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
3,130 |
3,127 |
$142K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,379 |
2,373 |
$108K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,297 |
1,263 |
$57K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
749 |
720 |
$30K |
| 92310 |
|
824 |
820 |
$29K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
107 |
107 |
$4K |