| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
9,650 |
9,509 |
$365K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,260 |
5,199 |
$224K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
3,739 |
3,673 |
$138K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,926 |
1,910 |
$81K |
| 92015 |
Determination of refractive state |
3,359 |
3,279 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
468 |
467 |
$38K |
| 92310 |
|
503 |
499 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
29 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
39 |
$2K |