| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
632 |
538 |
$55K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
567 |
437 |
$36K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,077 |
945 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
150 |
126 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
465 |
401 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
26 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
84 |
73 |
$1K |
| 92015 |
Determination of refractive state |
13 |
12 |
$0.00 |