| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
4,379 |
3,756 |
$325K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
2,528 |
2,198 |
$232K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,591 |
4,557 |
$84K |
| 92370 |
|
4,644 |
4,591 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
543 |
491 |
$22K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
435 |
374 |
$16K |
| 92250 |
|
320 |
301 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
103 |
86 |
$6K |
| 92273 |
|
44 |
42 |
$3K |
| 92015 |
Determination of refractive state |
105 |
100 |
$2K |
| 92283 |
|
13 |
13 |
$332.94 |