| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,358 |
4,196 |
$360K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,829 |
4,623 |
$308K |
| 92015 |
Determination of refractive state |
11,196 |
10,740 |
$229K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,276 |
4,007 |
$179K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,665 |
3,846 |
$78K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,113 |
2,360 |
$68K |
| V2020 |
Frames, purchases |
3,932 |
3,192 |
$57K |
| 92060 |
|
2,541 |
2,467 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
873 |
846 |
$48K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,913 |
885 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,624 |
1,680 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,131 |
1,450 |
$15K |
| 92083 |
|
403 |
383 |
$10K |
| 92133 |
|
497 |
478 |
$8K |
| 67311 |
|
25 |
15 |
$7K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
49 |
24 |
$194.56 |
| 50580 |
|
17 |
13 |
$0.00 |