| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,404 |
1,392 |
$124K |
| V2020 |
Frames, purchases |
1,858 |
1,806 |
$77K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,222 |
1,182 |
$52K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
414 |
412 |
$38K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,828 |
1,778 |
$33K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
439 |
435 |
$31K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,863 |
1,806 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$595.60 |
| 92015 |
Determination of refractive state |
12 |
12 |
$38.80 |