| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,166 |
1,997 |
$117K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,668 |
1,553 |
$115K |
| 92015 |
Determination of refractive state |
6,234 |
6,026 |
$85K |
| V2020 |
Frames, purchases |
3,430 |
3,340 |
$82K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,442 |
1,418 |
$81K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,079 |
1,062 |
$60K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,040 |
1,987 |
$59K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,816 |
2,719 |
$58K |
| 92341 |
|
1,493 |
1,414 |
$35K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
569 |
550 |
$26K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,321 |
1,287 |
$17K |
| 2023F |
|
13 |
13 |
$0.00 |
| 2024F |
|
14 |
14 |
$0.00 |