| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,050 |
1,008 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
400 |
393 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
319 |
294 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
194 |
190 |
$8K |
| 92002 |
|
163 |
163 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
133 |
133 |
$6K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
49 |
49 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
124 |
121 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
85 |
84 |
$2K |
| 76519 |
|
48 |
45 |
$1K |
| 92341 |
|
32 |
30 |
$604.87 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$547.60 |
| 92015 |
Determination of refractive state |
148 |
140 |
$448.95 |
| 92136 |
|
12 |
12 |
$385.10 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
68 |
28 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$0.00 |
| V2020 |
Frames, purchases |
14 |
14 |
$0.00 |