| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,512 |
1,848 |
$134K |
| 92065 |
|
2,531 |
1,175 |
$89K |
| 92066 |
|
1,294 |
723 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
268 |
162 |
$12K |
| 92060 |
|
212 |
200 |
$9K |
| 92015 |
Determination of refractive state |
533 |
505 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
206 |
195 |
$6K |
| V2020 |
Frames, purchases |
390 |
376 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
53 |
52 |
$877.50 |
| 99215 |
Prolong outpt/office vis |
19 |
15 |
$801.06 |