| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,646 |
4,188 |
$210K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,526 |
2,252 |
$110K |
| 92015 |
Determination of refractive state |
5,903 |
5,240 |
$107K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
31 |
31 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
17 |
17 |
$850.00 |
| 3072F |
|
222 |
222 |
$0.00 |