| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,307 |
12,012 |
$1.05M |
| 92083 |
|
13,595 |
12,816 |
$542K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,839 |
4,533 |
$484K |
| 92133 |
|
8,676 |
8,196 |
$297K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,604 |
1,509 |
$247K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,080 |
1,991 |
$236K |
| 92250 |
|
5,314 |
4,970 |
$198K |
| 92020 |
|
5,429 |
5,112 |
$171K |
| 92134 |
|
1,033 |
883 |
$67K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,813 |
1,766 |
$43K |
| V2020 |
Frames, purchases |
1,967 |
1,913 |
$40K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,379 |
2,141 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,636 |
1,599 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,339 |
1,304 |
$6K |
| 76514 |
|
393 |
375 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
237 |
228 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
56 |
56 |
$2K |
| 92136 |
|
32 |
27 |
$2K |
| 99072 |
|
52 |
51 |
$2K |
| 92025 |
|
12 |
12 |
$358.80 |
| V2750 |
Anti-reflective coating, per lens |
293 |
284 |
$0.00 |