| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,276 |
1,970 |
$171K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,299 |
1,067 |
$114K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,068 |
2,799 |
$60K |
| 92370 |
|
3,662 |
3,330 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
115 |
96 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
29 |
25 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
27 |
24 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
30 |
$1K |
| 92341 |
|
14 |
14 |
$343.51 |
| 3072F |
|
409 |
181 |
$0.00 |