| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,076 |
11,042 |
$975K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,911 |
4,511 |
$538K |
| 92060 |
|
4,223 |
3,958 |
$212K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,521 |
2,291 |
$142K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,307 |
1,195 |
$94K |
| 92201 |
|
2,588 |
1,635 |
$43K |
| 92226 |
|
1,448 |
462 |
$20K |
| 99233 |
Prolong inpt eval add15 m |
357 |
187 |
$19K |
| 99223 |
Prolong inpt eval add15 m |
93 |
74 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
245 |
242 |
$6K |
| V2020 |
Frames, purchases |
246 |
242 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
207 |
204 |
$1K |
| 92225 |
|
27 |
14 |
$435.20 |