| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,842 |
1,835 |
$105K |
| V2020 |
Frames, purchases |
2,538 |
2,530 |
$20K |
| 92285 |
|
979 |
777 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,477 |
2,465 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
516 |
514 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,208 |
1,208 |
$12K |
| 92015 |
Determination of refractive state |
3,385 |
3,380 |
$9K |
| 92250 |
|
131 |
130 |
$4K |
| 92083 |
|
153 |
152 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
111 |
107 |
$2K |
| 92341 |
|
139 |
139 |
$457.92 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
28 |
$284.00 |