| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
825 |
659 |
$55K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
345 |
345 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
163 |
92 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
54 |
$4K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
39 |
39 |
$4K |
| 92060 |
|
560 |
503 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
34 |
34 |
$687.72 |
| 92370 |
|
45 |
45 |
$15.02 |