| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,502 |
1,402 |
$66K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,584 |
1,130 |
$52K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
547 |
509 |
$28K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
181 |
173 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
149 |
109 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
27 |
24 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37 |
26 |
$934.75 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$898.87 |