| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,583 |
1,309 |
$114K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
353 |
311 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
330 |
245 |
$23K |
| 92250 |
|
3,252 |
2,633 |
$17K |
| 99327 |
|
617 |
458 |
$15K |
| 99336 |
|
1,011 |
805 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
601 |
566 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
155 |
142 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
134 |
110 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
125 |
86 |
$6K |
| 92370 |
|
708 |
670 |
$5K |
| 92341 |
|
50 |
45 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
261 |
232 |
$579.94 |
| 99344 |
|
146 |
128 |
$140.16 |
| 99349 |
|
662 |
627 |
$0.00 |
| 99306 |
Prolong nursin fac eval 15m |
148 |
129 |
$0.00 |