| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
616 |
603 |
$57K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
498 |
489 |
$55K |
| 92015 |
Determination of refractive state |
1,419 |
1,396 |
$17K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
217 |
217 |
$9K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
145 |
145 |
$6K |