| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,541 |
2,530 |
$158K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,285 |
2,273 |
$149K |
| 92250 |
|
1,309 |
1,294 |
$72K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,003 |
992 |
$42K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
917 |
907 |
$39K |
| 92015 |
Determination of refractive state |
1,613 |
1,598 |
$124.56 |
| 3072F |
|
31 |
31 |
$0.00 |