| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,143 |
2,139 |
$95K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
859 |
856 |
$38K |
| S0592 |
Comprehensive contact lens evaluation |
286 |
286 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
187 |
185 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
54 |
$1K |
| 92015 |
Determination of refractive state |
225 |
222 |
$905.85 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
15 |
$690.51 |