| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
573 |
571 |
$38K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,473 |
1,428 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
292 |
292 |
$26K |
| 92341 |
|
449 |
436 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
343 |
307 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
268 |
268 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
264 |
191 |
$6K |
| 92015 |
Determination of refractive state |
299 |
293 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
119 |
112 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
120 |
120 |
$4K |
| 92002 |
|
126 |
94 |
$3K |
| V2020 |
Frames, purchases |
151 |
136 |
$2K |
| V2744 |
Tint, photochromatic, per lens |
31 |
31 |
$372.00 |