| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,464 |
1,368 |
$76K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,810 |
1,807 |
$72K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,136 |
4,048 |
$66K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
517 |
484 |
$33K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
564 |
563 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
576 |
468 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
220 |
165 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$238.20 |