| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,011 |
5,930 |
$252K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
3,928 |
3,917 |
$217K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,739 |
4,668 |
$183K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
2,485 |
2,470 |
$119K |
| 92015 |
Determination of refractive state |
1,358 |
1,355 |
$10K |
| 3072F |
|
3,586 |
3,561 |
$0.00 |