| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,180 |
1,163 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,121 |
2,093 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,656 |
2,572 |
$73K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
363 |
363 |
$27K |
| 92060 |
|
756 |
745 |
$25K |
| 92015 |
Determination of refractive state |
3,107 |
3,056 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
58 |
58 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
76 |
76 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
37 |
$2K |
| V2020 |
Frames, purchases |
32 |
32 |
$675.20 |
| 99072 |
|
158 |
156 |
$142.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13 |
13 |
$138.58 |