| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
947 |
947 |
$11K |
| V2020 |
Frames, purchases |
2,487 |
2,477 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,016 |
2,009 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
915 |
912 |
$6K |
| 92015 |
Determination of refractive state |
3,340 |
3,329 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
568 |
567 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
199 |
198 |
$2K |
| 92250 |
|
218 |
218 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
175 |
169 |
$978.75 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143 |
138 |
$734.40 |
| 92341 |
|
151 |
151 |
$658.26 |