| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,991 |
8,615 |
$161K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,172 |
2,170 |
$109K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,553 |
1,551 |
$86K |
| V2020 |
Frames, purchases |
7,064 |
7,022 |
$47K |
| 99243 |
|
798 |
798 |
$46K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,116 |
3,081 |
$45K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,923 |
3,923 |
$36K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,453 |
5,403 |
$24K |
| 99205 |
Prolong outpt/office vis |
287 |
286 |
$17K |
| 92083 |
|
689 |
688 |
$14K |
| 92341 |
|
1,910 |
1,910 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
170 |
169 |
$8K |
| 92015 |
Determination of refractive state |
5,214 |
5,214 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
127 |
127 |
$5K |
| 99241 |
|
98 |
98 |
$3K |
| 99215 |
Prolong outpt/office vis |
56 |
53 |
$1K |
| 76519 |
|
25 |
25 |
$1K |