| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13,895 |
13,845 |
$1.01M |
| 92250 |
|
7,452 |
7,447 |
$298K |
| 92285 |
|
9,366 |
8,256 |
$173K |
| 92083 |
|
5,892 |
5,887 |
$164K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,655 |
2,651 |
$104K |
| V2020 |
Frames, purchases |
26,042 |
25,953 |
$99K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
21,458 |
21,413 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,383 |
2,315 |
$58K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,242 |
10,235 |
$57K |
| 92015 |
Determination of refractive state |
27,470 |
27,437 |
$42K |
| 92341 |
|
4,975 |
4,972 |
$29K |
| 92133 |
|
317 |
317 |
$10K |
| 92020 |
|
418 |
418 |
$7K |
| 76514 |
|
217 |
217 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
15 |
$35.50 |