| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,579 |
1,519 |
$71K |
| 92015 |
Determination of refractive state |
2,550 |
2,431 |
$41K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
886 |
880 |
$39K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
596 |
546 |
$27K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
19 |
19 |
$882.55 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
16 |
16 |
$720.00 |