| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
410 |
336 |
$25K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
324 |
276 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
841 |
575 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
485 |
340 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
247 |
199 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
157 |
119 |
$9K |
| 92134 |
|
265 |
191 |
$2K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
33 |
14 |
$2K |
| 92133 |
|
140 |
101 |
$2K |
| 92136 |
|
113 |
42 |
$670.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
14 |
$280.65 |
| 92250 |
|
17 |
12 |
$180.00 |