| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
959 |
951 |
$45K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
764 |
760 |
$34K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
623 |
619 |
$26K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
485 |
471 |
$23K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
335 |
334 |
$14K |
| 92015 |
Determination of refractive state |
408 |
404 |
$8K |
| 92310 |
|
507 |
486 |
$6K |