| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,277 |
3,645 |
$50K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
706 |
690 |
$44K |
| 92015 |
Determination of refractive state |
2,442 |
2,313 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
299 |
279 |
$6K |
| 92083 |
|
576 |
495 |
$5K |
| 68761 |
|
647 |
269 |
$3K |
| 92020 |
|
642 |
562 |
$2K |
| 92134 |
|
430 |
358 |
$2K |
| 92250 |
|
420 |
346 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
150 |
118 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
15 |
$1K |
| 67820 |
|
355 |
284 |
$1K |
| 92133 |
|
147 |
112 |
$731.54 |
| 92286 |
|
70 |
49 |
$208.87 |