| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,790 |
3,787 |
$410K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,925 |
3,911 |
$285K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,097 |
2,093 |
$232K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,303 |
1,294 |
$175K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
8,889 |
4,325 |
$171K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,087 |
1,087 |
$156K |
| V2020 |
Frames, purchases |
6,912 |
6,751 |
$76K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,699 |
1,571 |
$71K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
611 |
602 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
316 |
316 |
$30K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,398 |
692 |
$28K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
980 |
485 |
$26K |
| 92083 |
|
248 |
243 |
$13K |
| 92250 |
|
247 |
247 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13,933 |
6,813 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
56 |
56 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
84 |
42 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
99 |
94 |
$1K |
| 92015 |
Determination of refractive state |
10,046 |
10,026 |
$1K |
| 99406 |
|
27 |
27 |
$26.00 |