| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
8,808 |
7,180 |
$626K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
5,063 |
4,188 |
$440K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13,162 |
12,202 |
$241K |
| 92370 |
|
17,406 |
16,080 |
$110K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,504 |
2,489 |
$86K |
| 92341 |
|
3,588 |
3,335 |
$73K |
| 92015 |
Determination of refractive state |
4,049 |
2,973 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,478 |
1,661 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,501 |
946 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
496 |
387 |
$26K |
| 92250 |
|
1,112 |
745 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
235 |
133 |
$8K |
| 92083 |
|
70 |
52 |
$2K |
| 92133 |
|
124 |
88 |
$1K |
| 99072 |
|
1,739 |
1,530 |
$3.00 |