| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
3,192 |
2,771 |
$249K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,329 |
1,225 |
$128K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,282 |
4,116 |
$89K |
| 92370 |
|
6,487 |
5,614 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
634 |
574 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87 |
82 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
38 |
$2K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
16 |
13 |
$1K |
| 92341 |
|
41 |
40 |
$923.04 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
14 |
$414.00 |
| 92134 |
|
30 |
25 |
$352.40 |
| 92015 |
Determination of refractive state |
74 |
69 |
$331.77 |