| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
3,690 |
3,074 |
$267K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,772 |
1,343 |
$148K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,341 |
5,186 |
$105K |
| 92370 |
|
7,452 |
6,260 |
$46K |
| 92015 |
Determination of refractive state |
360 |
264 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
102 |
60 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
36 |
$2K |
| 92341 |
|
89 |
80 |
$2K |
| 99215 |
Prolong outpt/office vis |
21 |
16 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$860.91 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
12 |
$639.08 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
20 |
12 |
$206.28 |