| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,637 |
2,571 |
$158K |
| 92015 |
Determination of refractive state |
4,331 |
4,281 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,867 |
1,797 |
$75K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,286 |
2,148 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
823 |
804 |
$43K |
| 92250 |
|
1,376 |
1,357 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
294 |
294 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
528 |
494 |
$22K |
| 92065 |
|
1,788 |
822 |
$22K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
468 |
442 |
$18K |
| 99215 |
Prolong outpt/office vis |
227 |
225 |
$18K |
| 92060 |
|
640 |
639 |
$12K |
| 92341 |
|
474 |
444 |
$12K |
| V2020 |
Frames, purchases |
95 |
95 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
44 |
$2K |
| 92083 |
|
61 |
56 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
21 |
21 |
$507.60 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
17 |
17 |
$221.00 |
| 92133 |
|
16 |
12 |
$143.64 |
| 99072 |
|
381 |
371 |
$0.00 |