| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,051 |
1,008 |
$54K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
89 |
87 |
$3K |
| 92015 |
Determination of refractive state |
556 |
467 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
119 |
106 |
$2K |
| 92133 |
|
33 |
32 |
$771.77 |
| 92083 |
|
15 |
14 |
$688.62 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
13 |
13 |
$556.75 |
| 1036F |
|
345 |
313 |
$0.00 |