| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,184 |
1,181 |
$76K |
| 92083 |
|
860 |
856 |
$69K |
| 92250 |
|
960 |
956 |
$63K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
287 |
285 |
$31K |
| 92226 |
|
388 |
386 |
$29K |
| 92285 |
|
584 |
579 |
$18K |
| V2020 |
Frames, purchases |
105 |
105 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
92 |
90 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
69 |
69 |
$3K |
| 92133 |
|
125 |
62 |
$2K |
| 92015 |
Determination of refractive state |
253 |
252 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
15 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$377.80 |
| 76514 |
|
56 |
27 |
$300.05 |