| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
3,007 |
2,550 |
$123K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
623 |
536 |
$55K |
| 92002 |
|
1,261 |
1,224 |
$50K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,039 |
880 |
$47K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
466 |
399 |
$35K |
| 92250 |
|
654 |
578 |
$32K |
| 92015 |
Determination of refractive state |
1,466 |
1,236 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
272 |
238 |
$12K |
| 92025 |
|
190 |
157 |
$4K |