| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
127 |
126 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
162 |
158 |
$9K |
| V2020 |
Frames, purchases |
115 |
114 |
$6K |
| 92015 |
Determination of refractive state |
383 |
378 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
79 |
78 |
$4K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
348 |
343 |
$0.00 |
| 1036F |
|
348 |
343 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
14 |
14 |
$0.00 |