| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,769 |
4,636 |
$190K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,770 |
2,674 |
$112K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
66 |
66 |
$2K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
44 |
44 |
$1K |
| V2799 |
Vision item or service, miscellaneous |
23 |
23 |
$135.00 |