| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
524 |
465 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
581 |
386 |
$15K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
183 |
152 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
820 |
731 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
378 |
251 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
79 |
58 |
$5K |
| 92370 |
|
812 |
728 |
$5K |
| 92250 |
|
152 |
90 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
68 |
52 |
$1K |