| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,886 |
5,340 |
$369K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,034 |
2,735 |
$277K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,224 |
5,225 |
$215K |
| V2020 |
Frames, purchases |
6,279 |
5,357 |
$150K |
| 92015 |
Determination of refractive state |
9,745 |
8,649 |
$134K |
| 92250 |
|
4,975 |
4,396 |
$122K |
| 92285 |
|
6,369 |
5,537 |
$94K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,015 |
3,391 |
$66K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
1,637 |
1,350 |
$50K |
| 92083 |
|
1,496 |
1,255 |
$42K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,719 |
3,080 |
$40K |
| 92133 |
|
1,816 |
1,532 |
$30K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
916 |
805 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
920 |
746 |
$19K |
| 83861 |
|
1,054 |
607 |
$13K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
303 |
172 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,100 |
953 |
$11K |
| 92134 |
|
615 |
543 |
$7K |
| 95930 |
|
159 |
118 |
$4K |
| 76514 |
|
366 |
311 |
$4K |
| 92275 |
|
23 |
17 |
$1K |
| 92020 |
|
24 |
24 |
$801.80 |
| 92341 |
|
12 |
12 |
$300.00 |
| 92273 |
|
13 |
13 |
$174.12 |
| 1036F |
|
12 |
12 |
$3.81 |
| 4040F |
|
85 |
72 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
111 |
97 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
19 |
13 |
$0.00 |