| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
986 |
936 |
$56K |
| 92083 |
|
1,765 |
1,678 |
$42K |
| 92015 |
Determination of refractive state |
2,558 |
2,395 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
877 |
844 |
$18K |
| V2020 |
Frames, purchases |
1,089 |
1,051 |
$18K |
| 92250 |
|
597 |
571 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
303 |
282 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
497 |
464 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
386 |
370 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
52 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
38 |
36 |
$2K |
| 92341 |
|
27 |
25 |
$564.37 |