| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
232 |
227 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
363 |
208 |
$8K |
| V2020 |
Frames, purchases |
419 |
410 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
370 |
365 |
$6K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
356 |
176 |
$3K |
| 92015 |
Determination of refractive state |
123 |
120 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
64 |
61 |
$3K |
| 92370 |
|
121 |
117 |
$1K |