| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
494 |
452 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
239 |
239 |
$17K |
| 92083 |
|
226 |
210 |
$5K |
| 92015 |
Determination of refractive state |
695 |
694 |
$5K |
| 92133 |
|
116 |
114 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
113 |
113 |
$4K |
| 92100 |
|
133 |
129 |
$4K |
| V2020 |
Frames, purchases |
197 |
197 |
$4K |
| 92250 |
|
75 |
74 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
124 |
124 |
$2K |
| 92020 |
|
108 |
105 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
40 |
40 |
$2K |
| 76514 |
|
97 |
96 |
$971.03 |