| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,108 |
2,086 |
$148K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,235 |
1,311 |
$55K |
| V2020 |
Frames, purchases |
2,023 |
1,998 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
461 |
457 |
$37K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,845 |
1,822 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
661 |
618 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
658 |
648 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
419 |
412 |
$23K |
| 92015 |
Determination of refractive state |
1,072 |
1,022 |
$23K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
2,168 |
1,073 |
$19K |
| 92250 |
|
525 |
516 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
625 |
455 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
348 |
339 |
$12K |
| V2781 |
Progressive lens, per lens |
170 |
86 |
$12K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
308 |
197 |
$8K |
| 92370 |
|
524 |
511 |
$6K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
115 |
66 |
$5K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
94 |
52 |
$4K |
| 92342 |
|
143 |
141 |
$3K |
| 92133 |
|
107 |
105 |
$2K |
| 92341 |
|
66 |
66 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
44 |
43 |
$1K |
| 92083 |
|
24 |
24 |
$808.70 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
20 |
14 |
$538.76 |