| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,259 |
1,228 |
$56K |
| 92015 |
Determination of refractive state |
2,162 |
2,106 |
$35K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
346 |
343 |
$15K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
260 |
237 |
$12K |
| 92002 |
|
72 |
72 |
$3K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
13 |
13 |
$494.00 |