| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
12,849 |
11,628 |
$1.00M |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
8,489 |
7,600 |
$806K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
18,128 |
16,458 |
$352K |
| 92370 |
|
20,966 |
19,036 |
$147K |
| 92341 |
|
2,584 |
2,489 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
711 |
621 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
124 |
113 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
370 |
358 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
42 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$973.55 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
38 |
$863.11 |
| 92250 |
|
27 |
27 |
$441.09 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$199.32 |
| 83861 |
|
898 |
435 |
$0.00 |
| 99072 |
|
93 |
88 |
$0.00 |