| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
8,711 |
8,642 |
$366K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
6,691 |
6,627 |
$281K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,923 |
2,856 |
$262K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,740 |
1,702 |
$185K |
| 92002 |
|
593 |
581 |
$33K |
| 92133 |
|
751 |
744 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
645 |
619 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
369 |
364 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
328 |
311 |
$7K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
93 |
90 |
$5K |
| 92015 |
Determination of refractive state |
752 |
736 |
$4K |
| 92310 |
|
83 |
82 |
$3K |
| 92083 |
|
46 |
46 |
$1K |
| 92250 |
|
18 |
18 |
$1K |
| 76514 |
|
144 |
143 |
$994.44 |
| S0592 |
Comprehensive contact lens evaluation |
14 |
14 |
$744.00 |
| 99072 |
|
1,374 |
1,345 |
$76.20 |