| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,199 |
1,139 |
$77K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,034 |
1,019 |
$42K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,364 |
2,164 |
$40K |
| V2020 |
Frames, purchases |
3,666 |
3,146 |
$39K |
| 92015 |
Determination of refractive state |
3,807 |
3,694 |
$36K |
| 83861 |
|
2,132 |
993 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
725 |
684 |
$31K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
662 |
651 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,037 |
1,022 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
221 |
218 |
$18K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,851 |
1,656 |
$14K |
| 92285 |
|
865 |
813 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
441 |
424 |
$12K |
| 92250 |
|
313 |
304 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
130 |
129 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
407 |
392 |
$3K |
| 92310 |
|
72 |
51 |
$2K |
| 92020 |
|
160 |
160 |
$2K |
| 68761 |
|
46 |
17 |
$2K |
| 92133 |
|
67 |
67 |
$1K |
| 92286 |
|
26 |
26 |
$838.15 |
| 92341 |
|
13 |
13 |
$322.64 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
15 |
15 |
$318.52 |
| 2023F |
|
26 |
26 |
$0.00 |