| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
641 |
626 |
$15K |
| V2020 |
Frames, purchases |
198 |
192 |
$7K |
| V2760 |
Scratch resistant coating, per lens |
197 |
191 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
44 |
$1K |
| 92015 |
Determination of refractive state |
231 |
213 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
26 |
25 |
$920.80 |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
82 |
82 |
$315.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
14 |
14 |
$0.00 |