| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
197 |
185 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
103 |
103 |
$11K |
| 92015 |
Determination of refractive state |
293 |
293 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
99 |
98 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
34 |
$3K |
| V2020 |
Frames, purchases |
115 |
114 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
17 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
13 |
$362.70 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
114 |
113 |
$0.00 |