| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
523 |
522 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
745 |
745 |
$58K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,062 |
2,060 |
$17K |
| 92250 |
|
358 |
358 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,753 |
1,753 |
$11K |
| V2020 |
Frames, purchases |
2,601 |
2,601 |
$9K |
| 92015 |
Determination of refractive state |
4,067 |
4,065 |
$7K |
| 92341 |
|
925 |
925 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,546 |
1,546 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78 |
77 |
$5K |