| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,143 |
7,640 |
$369K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,225 |
6,920 |
$212K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,075 |
2,871 |
$150K |
| 92015 |
Determination of refractive state |
7,945 |
7,489 |
$141K |
| 92250 |
|
2,606 |
2,408 |
$87K |
| 92083 |
|
1,665 |
1,551 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,945 |
1,723 |
$42K |
| V2025 |
Deluxe frame |
800 |
657 |
$20K |
| 92136 |
|
667 |
376 |
$18K |
| 92020 |
|
1,287 |
1,213 |
$17K |
| 83861 |
|
708 |
397 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
322 |
292 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
129 |
126 |
$11K |
| 99304 |
|
669 |
663 |
$8K |
| 99307 |
|
1,090 |
1,077 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
114 |
106 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
383 |
376 |
$4K |
| V2020 |
Frames, purchases |
192 |
192 |
$2K |
| 76514 |
|
332 |
309 |
$2K |
| 92134 |
|
99 |
89 |
$2K |
| 92133 |
|
121 |
114 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
33 |
27 |
$865.30 |
| 92002 |
|
71 |
68 |
$786.74 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
14 |
14 |
$151.28 |