| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,790 |
2,626 |
$205K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
2,104 |
1,972 |
$189K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,144 |
6,438 |
$105K |
| 92370 |
|
8,121 |
7,258 |
$41K |
| 92015 |
Determination of refractive state |
443 |
417 |
$5K |
| 92341 |
|
416 |
357 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
77 |
73 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
40 |
$3K |
| 92250 |
|
72 |
69 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
13 |
$397.55 |