| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92060 |
|
8,599 |
2,876 |
$332K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,011 |
2,230 |
$240K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,334 |
1,219 |
$152K |
| 92065 |
|
4,461 |
1,109 |
$125K |
| V2020 |
Frames, purchases |
1,301 |
1,139 |
$55K |
| 92250 |
|
1,393 |
1,231 |
$29K |
| 92015 |
Determination of refractive state |
2,014 |
1,824 |
$27K |
| V2755 |
U-v lens, per lens |
898 |
828 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
438 |
386 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
331 |
297 |
$20K |
| 92083 |
|
106 |
99 |
$4K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
890 |
227 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
27 |
25 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$1K |
| 97750 |
|
27 |
17 |
$0.00 |