| Code | Description | Claims | Beneficiaries | Total Paid |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
894 |
705 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,467 |
1,871 |
$47K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
368 |
301 |
$33K |
| 92370 |
|
1,298 |
1,196 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
973 |
898 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
148 |
82 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
188 |
114 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
39 |
37 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
14 |
$757.30 |
| 92250 |
|
15 |
13 |
$489.57 |
| 92341 |
|
13 |
13 |
$281.84 |