| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,525 |
1,524 |
$81K |
| 92083 |
|
1,956 |
1,944 |
$44K |
| 92133 |
|
1,615 |
1,609 |
$38K |
| 92134 |
|
1,302 |
1,297 |
$33K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,092 |
1,030 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,236 |
1,181 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
451 |
451 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
210 |
209 |
$4K |
| 2022F |
|
250 |
246 |
$2K |
| 92235 |
|
28 |
14 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
38 |
38 |
$1K |
| 2027F |
|
167 |
159 |
$1K |
| 92250 |
|
38 |
38 |
$1K |
| 76514 |
|
41 |
41 |
$313.72 |
| V2020 |
Frames, purchases |
12 |
12 |
$0.00 |
| 92015 |
Determination of refractive state |
14 |
14 |
$0.00 |