| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
1,026 |
983 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
412 |
398 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
191 |
184 |
$15K |
| 92082 |
|
480 |
464 |
$15K |
| 92015 |
Determination of refractive state |
1,641 |
1,569 |
$12K |
| V2020 |
Frames, purchases |
110 |
99 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
46 |
46 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
58 |
54 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$562.73 |
| V2756 |
Eye glass case |
155 |
147 |
$246.70 |
| 4177F |
|
12 |
12 |
$0.00 |