| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,685 |
2,631 |
$147K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,062 |
1,846 |
$80K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,785 |
3,726 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
840 |
824 |
$65K |
| 92015 |
Determination of refractive state |
4,333 |
4,279 |
$47K |
| 92341 |
|
1,589 |
1,572 |
$36K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
754 |
747 |
$36K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
445 |
439 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
590 |
577 |
$20K |
| V2020 |
Frames, purchases |
543 |
540 |
$10K |
| 92133 |
|
289 |
286 |
$4K |
| 92134 |
|
177 |
169 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
37 |
$2K |
| 92083 |
|
70 |
70 |
$2K |
| 92250 |
|
82 |
80 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
131 |
131 |
$687.40 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
12 |
$582.68 |
| 92020 |
|
38 |
38 |
$400.88 |