| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,158 |
1,093 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
874 |
796 |
$44K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
781 |
741 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
34 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
15 |
$686.00 |
| 92225 |
|
13 |
12 |
$605.00 |
| 92250 |
|
25 |
25 |
$511.11 |
| 92285 |
|
13 |
13 |
$0.00 |