| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,249 |
1,241 |
$60K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
615 |
615 |
$26K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
426 |
426 |
$20K |
| 92015 |
Determination of refractive state |
757 |
747 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
208 |
208 |
$9K |
| 3072F |
|
810 |
807 |
$0.00 |