| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,278 |
1,161 |
$86K |
| 92250 |
|
2,107 |
1,955 |
$79K |
| 92285 |
|
2,212 |
1,996 |
$57K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
474 |
378 |
$27K |
| 92015 |
Determination of refractive state |
1,271 |
1,173 |
$23K |
| V2020 |
Frames, purchases |
672 |
656 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
283 |
282 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
335 |
276 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
253 |
159 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
472 |
471 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
227 |
174 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
496 |
485 |
$6K |
| 83861 |
|
224 |
121 |
$3K |
| V2025 |
Deluxe frame |
160 |
99 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
109 |
105 |
$1K |