| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
888 |
805 |
$50K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
689 |
685 |
$49K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
455 |
428 |
$40K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,100 |
1,084 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
857 |
724 |
$33K |
| 92015 |
Determination of refractive state |
1,392 |
1,346 |
$32K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
156 |
156 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
272 |
146 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
158 |
141 |
$4K |
| 92133 |
|
123 |
117 |
$3K |
| 92083 |
|
63 |
58 |
$2K |
| V2020 |
Frames, purchases |
152 |
151 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
28 |
26 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
48 |
27 |
$606.14 |
| G8785 |
Blood pressure reading not documented, reason not given |
153 |
138 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
188 |
176 |
$0.00 |
| 2026F |
|
32 |
32 |
$0.00 |