| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
798 |
772 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
680 |
662 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,081 |
1,027 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
478 |
471 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
191 |
186 |
$9K |
| V2020 |
Frames, purchases |
205 |
156 |
$8K |
| 92134 |
|
374 |
366 |
$6K |
| 92083 |
|
137 |
135 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
58 |
55 |
$1K |
| 92133 |
|
57 |
57 |
$1K |
| 92020 |
|
87 |
84 |
$942.70 |
| 92015 |
Determination of refractive state |
918 |
882 |
$92.70 |