| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
838 |
808 |
$50K |
| 92015 |
Determination of refractive state |
944 |
903 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
211 |
207 |
$8K |
| 92250 |
|
225 |
203 |
$7K |
| 92341 |
|
334 |
313 |
$6K |
| V2020 |
Frames, purchases |
322 |
297 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
95 |
88 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
16 |
12 |
$419.00 |