| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,009 |
842 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,031 |
834 |
$57K |
| 99205 |
Prolong outpt/office vis |
423 |
376 |
$47K |
| 92250 |
|
1,048 |
951 |
$20K |
| 92134 |
|
1,040 |
911 |
$18K |
| 92015 |
Determination of refractive state |
1,040 |
908 |
$9K |
| 92285 |
|
438 |
330 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
23 |
20 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
241 |
234 |
$2K |
| V2025 |
Deluxe frame |
80 |
80 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
36 |
27 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
40 |
27 |
$716.58 |
| 92133 |
|
29 |
29 |
$704.21 |
| V2020 |
Frames, purchases |
66 |
63 |
$631.96 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
42 |
41 |
$543.30 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
21 |
20 |
$351.42 |
| 92020 |
|
13 |
12 |
$121.45 |