| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
908 |
905 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
743 |
707 |
$36K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
707 |
696 |
$34K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
766 |
758 |
$33K |
| V2020 |
Frames, purchases |
1,258 |
1,232 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,180 |
1,138 |
$21K |
| 92250 |
|
553 |
541 |
$18K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
813 |
782 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
250 |
245 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
146 |
145 |
$12K |
| 92015 |
Determination of refractive state |
545 |
503 |
$10K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
93 |
93 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
92 |
85 |
$4K |
| 92083 |
|
110 |
106 |
$4K |
| 92133 |
|
152 |
152 |
$4K |
| 92370 |
|
313 |
302 |
$3K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
13 |
13 |
$1K |
| 92341 |
|
58 |
57 |
$1K |
| V2202 |
Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens |
12 |
12 |
$789.36 |
| 92342 |
|
33 |
32 |
$683.56 |
| 92201 |
|
24 |
24 |
$290.96 |