| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
279 |
270 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
223 |
219 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
300 |
285 |
$13K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
74 |
73 |
$7K |
| 92060 |
|
138 |
134 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
204 |
179 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$3K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
16 |
12 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
146 |
128 |
$2K |
| 92083 |
|
24 |
24 |
$703.59 |
| 92133 |
|
14 |
14 |
$272.86 |
| 92015 |
Determination of refractive state |
291 |
263 |
$220.99 |