| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,140 |
5,870 |
$281K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,512 |
4,403 |
$198K |
| 92015 |
Determination of refractive state |
10,551 |
10,279 |
$176K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
260 |
260 |
$12K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
237 |
236 |
$11K |
| 92310 |
|
146 |
136 |
$8K |
| 3072F |
|
1,279 |
1,279 |
$0.00 |