| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
825 |
730 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,847 |
1,378 |
$61K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
563 |
471 |
$50K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,021 |
819 |
$18K |
| 92370 |
|
1,609 |
1,406 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
186 |
164 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 92341 |
|
29 |
29 |
$663.04 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
79 |
78 |
$427.12 |
| 83861 |
|
164 |
81 |
$123.72 |