| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,162 |
1,096 |
$50K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,126 |
1,074 |
$50K |
| 92015 |
Determination of refractive state |
1,418 |
1,311 |
$26K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
418 |
417 |
$23K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
92 |
92 |
$10K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
86 |
84 |
$4K |
| 92310 |
|
223 |
218 |
$3K |
| 3072F |
|
17 |
17 |
$0.00 |