| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
4,843 |
4,225 |
$451K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
5,294 |
4,704 |
$402K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,053 |
929 |
$105K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,381 |
1,784 |
$89K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
716 |
531 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
703 |
565 |
$25K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
476 |
160 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
680 |
638 |
$12K |
| 92060 |
|
206 |
167 |
$7K |
| 99253 |
|
80 |
64 |
$6K |
| 92370 |
|
743 |
696 |
$5K |
| 92136 |
|
540 |
370 |
$3K |
| 92133 |
|
202 |
148 |
$2K |
| 92134 |
|
129 |
79 |
$851.58 |
| 92083 |
|
31 |
26 |
$674.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
14 |
$543.08 |
| 92015 |
Determination of refractive state |
42 |
38 |
$283.77 |
| 92250 |
|
12 |
12 |
$226.16 |
| 92201 |
|
1,483 |
588 |
$174.44 |
| 76514 |
|
15 |
12 |
$58.00 |
| 92226 |
|
368 |
189 |
$53.98 |
| 92225 |
|
19 |
18 |
$5.41 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
47 |
46 |
$0.00 |