| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,753 |
5,723 |
$94K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,132 |
3,130 |
$72K |
| V2020 |
Frames, purchases |
6,402 |
6,399 |
$66K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,281 |
1,281 |
$63K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,981 |
1,896 |
$45K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,514 |
4,511 |
$44K |
| 92083 |
|
2,865 |
2,860 |
$37K |
| 92133 |
|
2,365 |
2,360 |
$31K |
| 92015 |
Determination of refractive state |
7,571 |
7,568 |
$28K |
| 92341 |
|
1,694 |
1,692 |
$22K |
| 92134 |
|
1,634 |
1,621 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
682 |
640 |
$13K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
141 |
141 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
303 |
303 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
109 |
109 |
$3K |
| 2022F |
|
178 |
175 |
$715.30 |
| 2027F |
|
233 |
219 |
$170.06 |
| 76514 |
|
58 |
58 |
$28.78 |