| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
589 |
589 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
977 |
960 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
555 |
519 |
$19K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
27 |
26 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
129 |
128 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
153 |
147 |
$2K |
| 92083 |
|
24 |
24 |
$891.12 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
26 |
26 |
$781.00 |
| V2020 |
Frames, purchases |
30 |
29 |
$575.40 |
| 92015 |
Determination of refractive state |
80 |
80 |
$569.59 |
| 92133 |
|
13 |
13 |
$551.72 |
| 76519 |
|
50 |
49 |
$187.53 |