| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
830 |
813 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
381 |
375 |
$25K |
| 92015 |
Determination of refractive state |
771 |
750 |
$24K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
39 |
39 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
50 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
19 |
19 |
$1K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
13 |
12 |
$722.76 |
| 92250 |
|
12 |
12 |
$478.83 |