| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,800 |
2,411 |
$133K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,206 |
2,760 |
$132K |
| 92250 |
|
656 |
598 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
431 |
398 |
$18K |
| 92015 |
Determination of refractive state |
708 |
669 |
$15K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
227 |
214 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
31 |
26 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$376.06 |