| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,968 |
1,872 |
$165K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
968 |
936 |
$77K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,418 |
1,382 |
$74K |
| 92082 |
|
1,256 |
1,191 |
$47K |
| 92015 |
Determination of refractive state |
1,787 |
1,664 |
$25K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
71 |
71 |
$3K |
| 3072F |
|
13 |
12 |
$0.00 |