| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
8,002 |
6,538 |
$582K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
3,055 |
2,532 |
$268K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,234 |
7,008 |
$143K |
| 92370 |
|
8,282 |
8,020 |
$56K |
| 92341 |
|
400 |
384 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
208 |
154 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
24 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
54 |
52 |
$839.16 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
18 |
12 |
$494.55 |
| 92134 |
|
43 |
38 |
$386.82 |
| 2023F |
|
1,337 |
727 |
$0.00 |