| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
669 |
620 |
$31K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
248 |
229 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
87 |
77 |
$4K |
| 92015 |
Determination of refractive state |
154 |
144 |
$4K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
39 |
38 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
13 |
$378.43 |
| G9905 |
Patient not screened for tobacco use |
472 |
433 |
$0.00 |
| 1036F |
|
49 |
41 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
49 |
41 |
$0.00 |