| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
3,051 |
2,554 |
$289K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,975 |
2,582 |
$229K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,493 |
2,857 |
$181K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,115 |
5,208 |
$114K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,326 |
1,006 |
$56K |
| 92370 |
|
6,852 |
5,922 |
$45K |
| 92133 |
|
1,364 |
1,191 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
181 |
165 |
$17K |
| 92083 |
|
323 |
316 |
$12K |
| 92273 |
|
131 |
127 |
$8K |
| 92341 |
|
278 |
260 |
$6K |
| 92082 |
|
164 |
151 |
$5K |
| 92250 |
|
175 |
152 |
$3K |
| 76514 |
|
317 |
278 |
$3K |
| 92134 |
|
183 |
166 |
$3K |
| 92275 |
|
42 |
41 |
$1K |
| 92015 |
Determination of refractive state |
25 |
24 |
$532.42 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
33 |
33 |
$162.94 |
| 3072F |
|
1,687 |
990 |
$0.00 |