| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
5,346 |
4,823 |
$413K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,071 |
971 |
$99K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,721 |
4,819 |
$97K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,065 |
1,992 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,326 |
1,168 |
$58K |
| 92370 |
|
7,371 |
6,473 |
$45K |
| 92250 |
|
2,920 |
1,787 |
$41K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,445 |
1,318 |
$35K |
| 92341 |
|
943 |
885 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
448 |
371 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
106 |
101 |
$6K |
| 92015 |
Determination of refractive state |
285 |
267 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
30 |
$3K |
| 92133 |
|
315 |
184 |
$3K |