| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
717 |
636 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
174 |
159 |
$15K |
| V2020 |
Frames, purchases |
666 |
665 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
585 |
585 |
$11K |
| 92015 |
Determination of refractive state |
1,249 |
1,249 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
155 |
148 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
70 |
70 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
69 |
69 |
$2K |
| 92250 |
|
12 |
12 |
$455.04 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
12 |
$399.24 |