| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,725 |
1,480 |
$137K |
| 92083 |
|
1,075 |
986 |
$52K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,041 |
1,022 |
$46K |
| 92250 |
|
1,675 |
1,477 |
$42K |
| V2025 |
Deluxe frame |
811 |
790 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
252 |
237 |
$33K |
| 92285 |
|
1,714 |
1,474 |
$28K |
| 92015 |
Determination of refractive state |
1,395 |
1,316 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,137 |
1,107 |
$17K |
| 92283 |
|
263 |
255 |
$11K |
| 99205 |
Prolong outpt/office vis |
79 |
74 |
$10K |
| 92273 |
|
83 |
82 |
$8K |
| 99215 |
Prolong outpt/office vis |
95 |
76 |
$8K |
| 92133 |
|
180 |
169 |
$6K |
| 92134 |
|
185 |
178 |
$6K |
| V2020 |
Frames, purchases |
192 |
185 |
$5K |
| 92025 |
|
101 |
88 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
130 |
127 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
36 |
36 |
$1K |
| 92284 |
|
27 |
27 |
$987.00 |