| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,938 |
5,304 |
$331K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,561 |
4,037 |
$331K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,384 |
6,738 |
$116K |
| 92015 |
Determination of refractive state |
12,027 |
10,639 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
376 |
350 |
$20K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
469 |
453 |
$12K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
158 |
151 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$372.00 |