| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
682 |
681 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,420 |
2,251 |
$39K |
| 92083 |
|
1,144 |
1,143 |
$23K |
| 92133 |
|
1,088 |
1,086 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,095 |
1,086 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
654 |
649 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
598 |
594 |
$10K |
| V2020 |
Frames, purchases |
131 |
131 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
28 |
28 |
$542.92 |
| 3285F |
|
169 |
169 |
$0.02 |
| 2027F |
|
41 |
41 |
$0.01 |
| 2022F |
|
72 |
72 |
$0.01 |
| 0517F |
|
169 |
169 |
$0.00 |