| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
820 |
750 |
$49K |
| 92285 |
|
1,584 |
1,457 |
$37K |
| 92250 |
|
930 |
871 |
$33K |
| 92015 |
Determination of refractive state |
815 |
765 |
$15K |
| V2020 |
Frames, purchases |
268 |
253 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
86 |
86 |
$6K |
| 83861 |
|
380 |
194 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
223 |
221 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
82 |
64 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
218 |
211 |
$3K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
43 |
42 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
30 |
30 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
56 |
55 |
$599.72 |
| V2025 |
Deluxe frame |
41 |
34 |
$449.60 |