| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,076 |
3,875 |
$83K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
639 |
634 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,474 |
2,472 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
360 |
360 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,374 |
1,373 |
$14K |
| 92015 |
Determination of refractive state |
3,740 |
3,738 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
298 |
282 |
$5K |
| V2020 |
Frames, purchases |
1,101 |
1,101 |
$5K |
| 92133 |
|
147 |
147 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
660 |
660 |
$2K |
| 92083 |
|
51 |
51 |
$1K |
| 92341 |
|
54 |
54 |
$233.24 |