| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,284 |
2,079 |
$122K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
991 |
923 |
$58K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
661 |
619 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
224 |
214 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
399 |
193 |
$7K |
| V2020 |
Frames, purchases |
407 |
388 |
$5K |
| 92015 |
Determination of refractive state |
189 |
188 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
188 |
92 |
$30.00 |