| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
794 |
778 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
249 |
245 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
313 |
305 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
395 |
298 |
$17K |
| 92060 |
|
294 |
291 |
$14K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
191 |
188 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
209 |
152 |
$6K |
| 92065 |
|
87 |
62 |
$3K |
| 92002 |
|
17 |
16 |
$1K |
| V2020 |
Frames, purchases |
62 |
62 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
21 |
21 |
$420.39 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$264.69 |