| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,998 |
1,792 |
$259K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,979 |
1,806 |
$174K |
| 92015 |
Determination of refractive state |
5,534 |
4,729 |
$104K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
530 |
465 |
$79K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
377 |
348 |
$42K |
| 92134 |
|
1,822 |
997 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
213 |
205 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
113 |
106 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
253 |
169 |
$12K |
| 92060 |
|
388 |
349 |
$7K |
| V2020 |
Frames, purchases |
244 |
237 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
163 |
77 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
258 |
251 |
$592.50 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
22 |
13 |
$470.85 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
63 |
43 |
$255.00 |