| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,476 |
1,205 |
$102K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
636 |
474 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,044 |
898 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
107 |
98 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
244 |
169 |
$6K |
| 92370 |
|
1,050 |
897 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
194 |
116 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
36 |
26 |
$398.55 |
| 92250 |
|
64 |
48 |
$253.76 |
| 99072 |
|
389 |
262 |
$16.20 |
| 92285 |
|
91 |
38 |
$0.00 |