| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,579 |
1,395 |
$80K |
| V2020 |
Frames, purchases |
1,672 |
1,581 |
$48K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
609 |
526 |
$48K |
| 92015 |
Determination of refractive state |
4,801 |
4,116 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
425 |
321 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
572 |
506 |
$22K |
| 92083 |
|
678 |
589 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
324 |
314 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
200 |
194 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
71 |
63 |
$6K |
| 92133 |
|
113 |
97 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
35 |
24 |
$943.30 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
44 |
37 |
$730.56 |
| 92136 |
|
49 |
38 |
$705.67 |
| 83861 |
|
108 |
54 |
$692.64 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
13 |
$0.00 |