| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,663 |
1,467 |
$178K |
| 99215 |
Prolong outpt/office vis |
961 |
908 |
$150K |
| 99205 |
Prolong outpt/office vis |
661 |
623 |
$119K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
348 |
319 |
$48K |
| 92134 |
|
1,363 |
1,290 |
$48K |
| 92250 |
|
1,390 |
1,323 |
$44K |
| 92015 |
Determination of refractive state |
1,307 |
1,202 |
$20K |
| V2025 |
Deluxe frame |
437 |
370 |
$17K |
| 92285 |
|
535 |
455 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
312 |
276 |
$4K |
| 92133 |
|
76 |
74 |
$2K |
| 92020 |
|
74 |
72 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
39 |
12 |
$799.33 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
36 |
35 |
$461.44 |