| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,761 |
2,523 |
$212K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,403 |
1,218 |
$129K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,109 |
3,287 |
$68K |
| 92370 |
|
4,061 |
3,594 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
35 |
26 |
$1K |
| 1036F |
|
25 |
25 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
40 |
40 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
12 |
12 |
$0.00 |