| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,701 |
1,620 |
$128K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
848 |
810 |
$78K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,186 |
1,975 |
$41K |
| 92370 |
|
2,672 |
2,424 |
$17K |
| 92341 |
|
407 |
373 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
447 |
391 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
291 |
284 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
49 |
49 |
$2K |
| 92250 |
|
12 |
12 |
$0.00 |