| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,987 |
4,456 |
$128K |
| 92250 |
|
970 |
941 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
456 |
442 |
$22K |
| V2020 |
Frames, purchases |
436 |
402 |
$21K |
| 92273 |
|
171 |
171 |
$17K |
| 92083 |
|
232 |
227 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
464 |
198 |
$13K |
| V2781 |
Progressive lens, per lens |
240 |
120 |
$13K |
| 92133 |
|
475 |
471 |
$12K |
| 0509T |
|
208 |
207 |
$12K |
| 92134 |
|
454 |
445 |
$11K |
| V2299 |
Specialty bifocal (by report) |
240 |
120 |
$9K |
| 92082 |
|
249 |
239 |
$9K |
| V2750 |
Anti-reflective coating, per lens |
278 |
133 |
$8K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
148 |
74 |
$6K |
| V2744 |
Tint, photochromatic, per lens |
156 |
78 |
$5K |
| 92283 |
|
275 |
274 |
$3K |
| 92145 |
|
210 |
210 |
$2K |
| 68761 |
|
35 |
16 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
244 |
91 |
$345.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
24 |
23 |
$210.00 |
| 76514 |
|
18 |
18 |
$127.93 |