| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,369 |
2,300 |
$98K |
| 92015 |
Determination of refractive state |
4,167 |
4,001 |
$80K |
| 92081 |
|
3,474 |
3,390 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
818 |
795 |
$45K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
978 |
935 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
57 |
$3K |
| 92341 |
|
66 |
66 |
$2K |
| V2020 |
Frames, purchases |
64 |
63 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
50 |
50 |
$1K |
| 92250 |
|
35 |
33 |
$866.79 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
29 |
27 |
$683.58 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
16 |
16 |
$208.00 |