| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
921 |
752 |
$28K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
177 |
156 |
$16K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
162 |
154 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
384 |
326 |
$12K |
| 92250 |
|
247 |
192 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
428 |
405 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
83 |
69 |
$3K |
| 92015 |
Determination of refractive state |
77 |
66 |
$1K |
| 92133 |
|
37 |
36 |
$848.30 |