| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,427 |
1,395 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
690 |
676 |
$3K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
433 |
351 |
$1K |
| 92002 |
|
197 |
197 |
$1K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
311 |
268 |
$990.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
158 |
157 |
$450.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
243 |
235 |
$83.64 |