| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
3,009 |
3,003 |
$100K |
| 92082 |
|
720 |
720 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
442 |
430 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
683 |
677 |
$10K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
197 |
197 |
$6K |
| 92250 |
|
13 |
13 |
$520.00 |
| 92015 |
Determination of refractive state |
121 |
119 |
$0.00 |
| 99072 |
|
19 |
19 |
$0.00 |