| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,872 |
13,789 |
$1.20M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
9,775 |
9,269 |
$1.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,044 |
8,405 |
$523K |
| 92060 |
|
9,984 |
9,177 |
$497K |
| 92015 |
Determination of refractive state |
22,749 |
21,611 |
$332K |
| 99233 |
Prolong inpt eval add15 m |
2,928 |
1,763 |
$207K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,334 |
5,173 |
$166K |
| 67311 |
|
260 |
227 |
$147K |
| V2020 |
Frames, purchases |
5,199 |
5,070 |
$118K |
| 99223 |
Prolong inpt eval add15 m |
668 |
579 |
$92K |
| 92201 |
|
4,799 |
3,189 |
$81K |
| V2025 |
Deluxe frame |
1,349 |
1,343 |
$78K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,514 |
1,470 |
$72K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,028 |
1,028 |
$60K |
| 92226 |
|
1,875 |
1,082 |
$43K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,806 |
5,649 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
389 |
375 |
$18K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
183 |
181 |
$13K |
| 92225 |
|
342 |
303 |
$9K |
| 99072 |
|
1,302 |
1,199 |
$7K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
107 |
107 |
$6K |
| 92134 |
|
141 |
135 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
57 |
$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) |
78 |
73 |
$652.26 |