| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
889 |
881 |
$61K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
774 |
759 |
$32K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,206 |
672 |
$29K |
| V2020 |
Frames, purchases |
1,139 |
1,107 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
422 |
402 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,022 |
999 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
145 |
140 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
190 |
186 |
$11K |
| 92015 |
Determination of refractive state |
546 |
531 |
$10K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,092 |
536 |
$9K |
| 92250 |
|
268 |
263 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
316 |
218 |
$8K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
141 |
82 |
$6K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
128 |
87 |
$3K |
| 92370 |
|
270 |
259 |
$3K |
| 92341 |
|
123 |
117 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
36 |
32 |
$1K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
22 |
12 |
$936.27 |
| 92342 |
|
40 |
40 |
$839.65 |
| 92133 |
|
27 |
27 |
$715.31 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
20 |
12 |
$512.70 |
| 92083 |
|
13 |
13 |
$497.25 |