| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
941 |
908 |
$63K |
| 92015 |
Determination of refractive state |
1,581 |
1,500 |
$35K |
| V2020 |
Frames, purchases |
1,696 |
1,633 |
$32K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
746 |
612 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,351 |
1,293 |
$23K |
| 92370 |
|
1,483 |
1,421 |
$12K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
814 |
593 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
275 |
260 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
227 |
213 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
45 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
81 |
67 |
$3K |
| 92133 |
|
90 |
84 |
$2K |
| 92250 |
|
52 |
50 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
34 |
32 |
$2K |
| 92225 |
|
45 |
39 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
15 |
13 |
$855.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
28 |
28 |
$791.39 |
| 92341 |
|
26 |
26 |
$516.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$480.17 |
| 92202 |
|
18 |
16 |
$102.62 |