| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,582 |
2,244 |
$101K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,635 |
1,407 |
$68K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,054 |
943 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
285 |
232 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72 |
68 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
112 |
85 |
$4K |
| 92015 |
Determination of refractive state |
167 |
164 |
$4K |
| 92370 |
|
124 |
114 |
$4K |
| 92250 |
|
134 |
119 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$574.10 |