| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,730 |
1,681 |
$78K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,155 |
1,109 |
$49K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
935 |
935 |
$43K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
826 |
826 |
$38K |
| 92015 |
Determination of refractive state |
2,450 |
2,356 |
$34K |