| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
766 |
765 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,572 |
1,555 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
746 |
743 |
$28K |
| V2020 |
Frames, purchases |
1,358 |
1,350 |
$28K |
| V2025 |
Deluxe frame |
587 |
585 |
$27K |
| 92015 |
Determination of refractive state |
2,695 |
2,675 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
488 |
477 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
401 |
391 |
$15K |
| 92341 |
|
223 |
223 |
$7K |
| 92225 |
|
12 |
12 |
$1K |
| 92250 |
|
15 |
15 |
$976.18 |