| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,859 |
7,368 |
$535K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,396 |
4,174 |
$312K |
| V2020 |
Frames, purchases |
2,508 |
2,488 |
$119K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,428 |
1,395 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,041 |
970 |
$57K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
906 |
880 |
$41K |
| 92015 |
Determination of refractive state |
2,319 |
2,210 |
$26K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
564 |
542 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
364 |
355 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
160 |
149 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
917 |
895 |
$7K |
| V2025 |
Deluxe frame |
174 |
174 |
$5K |
| 92136 |
|
33 |
27 |
$934.38 |
| 92134 |
|
14 |
13 |
$273.09 |