| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
348 |
252 |
$7K |
| V2020 |
Frames, purchases |
406 |
315 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
391 |
197 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
118 |
114 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
344 |
217 |
$1K |
| 92015 |
Determination of refractive state |
46 |
37 |
$146.30 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
34 |
14 |
$135.10 |
| 83861 |
|
31 |
12 |
$85.20 |