| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
637 |
530 |
$30K |
| 92273 |
|
466 |
403 |
$25K |
| 92134 |
|
822 |
722 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
587 |
583 |
$12K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
88 |
67 |
$8K |
| 92083 |
|
200 |
176 |
$8K |
| 92133 |
|
420 |
369 |
$8K |
| 92370 |
|
966 |
952 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
400 |
331 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
38 |
$5K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
42 |
31 |
$3K |
| 92082 |
|
34 |
29 |
$832.15 |
| 92020 |
|
34 |
27 |
$368.43 |
| 92250 |
|
25 |
24 |
$166.36 |