| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
873 |
716 |
$28K |
| 92015 |
Determination of refractive state |
750 |
632 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78 |
66 |
$3K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
13 |
$791.92 |
| V2020 |
Frames, purchases |
18 |
15 |
$452.04 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
15 |
$410.08 |
| 83861 |
|
23 |
17 |
$402.72 |