| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,901 |
2,800 |
$142K |
| 92015 |
Determination of refractive state |
4,370 |
4,281 |
$123K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
888 |
868 |
$56K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
288 |
285 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
188 |
188 |
$15K |
| V2020 |
Frames, purchases |
237 |
222 |
$11K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
67 |
52 |
$840.00 |
| 92250 |
|
13 |
12 |
$433.12 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
18 |
12 |
$344.00 |