| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
3,569 |
3,081 |
$301K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
3,428 |
2,909 |
$235K |
| 92273 |
|
3,904 |
2,832 |
$225K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,188 |
3,727 |
$204K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,444 |
5,258 |
$109K |
| 92083 |
|
3,559 |
2,615 |
$107K |
| 92284 |
|
3,557 |
2,600 |
$80K |
| 92370 |
|
6,470 |
6,219 |
$41K |
| 92283 |
|
2,568 |
1,935 |
$39K |
| 92250 |
|
2,413 |
1,757 |
$26K |
| 92275 |
|
496 |
397 |
$21K |
| 92341 |
|
765 |
743 |
$18K |
| 92134 |
|
1,052 |
805 |
$17K |
| 92020 |
|
969 |
840 |
$13K |
| 92133 |
|
659 |
482 |
$13K |
| 76514 |
|
2,361 |
1,734 |
$11K |
| 92286 |
|
1,009 |
764 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
54 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
79 |
34 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
30 |
16 |
$2K |
| 95930 |
|
124 |
118 |
$2K |
| 95919 |
|
295 |
216 |
$441.96 |
| 92015 |
Determination of refractive state |
28 |
14 |
$264.70 |
| 3072F |
|
68 |
34 |
$0.00 |