| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,868 |
1,757 |
$49K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,696 |
1,684 |
$30K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,478 |
1,478 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
360 |
360 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
650 |
642 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,012 |
1,012 |
$12K |
| 92015 |
Determination of refractive state |
4,327 |
4,309 |
$10K |
| V2020 |
Frames, purchases |
816 |
814 |
$6K |
| 92002 |
|
236 |
236 |
$4K |
| 92133 |
|
52 |
52 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
205 |
204 |
$2K |
| 92083 |
|
53 |
52 |
$1K |
| 92134 |
|
56 |
56 |
$842.78 |
| 92341 |
|
117 |
117 |
$758.42 |
| 2022F |
|
406 |
402 |
$118.69 |
| 99199 |
Unlisted special service, procedure or report |
25 |
25 |
$0.00 |
| 2023F |
|
25 |
25 |
$0.00 |
| 3072F |
|
12 |
12 |
$0.00 |