| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,650 |
2,616 |
$172K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,318 |
1,299 |
$159K |
| 99205 |
Prolong outpt/office vis |
501 |
500 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,133 |
1,097 |
$48K |
| 99215 |
Prolong outpt/office vis |
586 |
581 |
$46K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,184 |
998 |
$38K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,165 |
1,046 |
$34K |
| 92015 |
Determination of refractive state |
4,706 |
4,644 |
$32K |
| V2020 |
Frames, purchases |
1,121 |
1,010 |
$8K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
36 |
36 |
$4K |
| 99354 |
|
14 |
14 |
$576.00 |
| V2025 |
Deluxe frame |
69 |
68 |
$0.00 |