| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
2,497 |
2,476 |
$105K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,651 |
1,641 |
$70K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
56 |
56 |
$3K |
| 92015 |
Determination of refractive state |
88 |
86 |
$522.48 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
18 |
18 |
$168.75 |
| 3072F |
|
32 |
32 |
$0.00 |