| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,191 |
1,189 |
$151K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
806 |
800 |
$50K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
580 |
580 |
$34K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,019 |
1,017 |
$34K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,277 |
1,265 |
$33K |
| V2020 |
Frames, purchases |
1,538 |
1,530 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
174 |
173 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
669 |
665 |
$14K |
| V2025 |
Deluxe frame |
82 |
81 |
$8K |
| 92015 |
Determination of refractive state |
1,319 |
1,312 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
392 |
390 |
$4K |