| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,613 |
3,360 |
$166K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,557 |
1,526 |
$87K |
| 92015 |
Determination of refractive state |
949 |
789 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
458 |
382 |
$19K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
150 |
147 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
62 |
62 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
41 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
26 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61 |
42 |
$976.43 |
| 92083 |
|
104 |
71 |
$957.95 |
| 92370 |
|
13 |
13 |
$448.63 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$337.76 |
| 92136 |
|
14 |
13 |
$205.99 |
| 92133 |
|
28 |
16 |
$0.00 |