| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
4,139 |
4,106 |
$185K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,778 |
1,758 |
$80K |
| S0592 |
Comprehensive contact lens evaluation |
1,038 |
1,034 |
$36K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
540 |
520 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
99 |
99 |
$5K |
| 92015 |
Determination of refractive state |
84 |
84 |
$3K |
| 92250 |
|
16 |
16 |
$903.92 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$458.50 |