| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
389 |
315 |
$22K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
65 |
48 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$871.64 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
139 |
106 |
$596.65 |
| 92370 |
|
132 |
118 |
$375.58 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
26 |
18 |
$89.69 |