| Code | Description | Claims | Beneficiaries | Total Paid |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
773 |
657 |
$61K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
451 |
321 |
$47K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
397 |
351 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
103 |
80 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107 |
91 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
95 |
81 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$2K |
| 99243 |
|
17 |
12 |
$1K |
| 92060 |
|
16 |
15 |
$639.85 |