| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,956 |
12,092 |
$536K |
| 92015 |
Determination of refractive state |
16,288 |
15,598 |
$329K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,630 |
5,402 |
$295K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,360 |
2,247 |
$183K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,997 |
7,296 |
$148K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,295 |
2,118 |
$137K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
11,878 |
4,506 |
$130K |
| V2020 |
Frames, purchases |
7,631 |
6,156 |
$109K |
| 92060 |
|
4,240 |
4,047 |
$80K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
3,870 |
1,729 |
$41K |
| 67311 |
|
137 |
73 |
$39K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
7,430 |
3,367 |
$36K |
| 92083 |
|
1,082 |
1,028 |
$26K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,382 |
2,502 |
$26K |
| 92133 |
|
974 |
937 |
$14K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
513 |
267 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
30 |
26 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
225 |
116 |
$1K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
148 |
79 |
$747.43 |
| 50580 |
|
93 |
73 |
$0.00 |