| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,075 |
14,416 |
$1.35M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,784 |
10,190 |
$1.32M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,892 |
8,491 |
$1.01M |
| 92060 |
|
15,908 |
15,167 |
$926K |
| 92015 |
Determination of refractive state |
31,776 |
30,409 |
$605K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,022 |
2,908 |
$507K |
| 92250 |
|
3,955 |
3,731 |
$147K |
| 92201 |
|
4,223 |
3,233 |
$84K |
| 99233 |
Prolong inpt eval add15 m |
505 |
346 |
$50K |
| V2020 |
Frames, purchases |
3,416 |
3,282 |
$39K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,457 |
3,319 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,290 |
1,252 |
$15K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
922 |
880 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
472 |
453 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
28 |
25 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
29 |
24 |
$348.32 |
| 99058 |
|
13 |
13 |
$50.00 |
| V2750 |
Anti-reflective coating, per lens |
50 |
50 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
40 |
39 |
$0.00 |