| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,071 |
950 |
$58K |
| 92060 |
|
1,643 |
1,467 |
$57K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
273 |
227 |
$14K |
| V2020 |
Frames, purchases |
383 |
346 |
$10K |
| 92015 |
Determination of refractive state |
1,267 |
1,109 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
105 |
81 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
230 |
223 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131 |
116 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
292 |
276 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
45 |
43 |
$867.30 |