| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12,555 |
11,852 |
$571K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,584 |
10,009 |
$467K |
| 92015 |
Determination of refractive state |
18,389 |
17,524 |
$296K |
| 92310 |
|
1,110 |
1,070 |
$32K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
470 |
470 |
$21K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
389 |
386 |
$18K |