| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
5,870 |
5,058 |
$437K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
3,714 |
3,081 |
$321K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,681 |
8,046 |
$177K |
| 92370 |
|
11,170 |
9,253 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
566 |
479 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
83 |
65 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
113 |
88 |
$2K |
| 92341 |
|
97 |
88 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
30 |
$1K |
| 92134 |
|
88 |
67 |
$667.51 |
| 92015 |
Determination of refractive state |
314 |
244 |
$552.03 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
14 |
12 |
$365.98 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
33 |
26 |
$77.74 |