| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,018 |
1,819 |
$176K |
| V2020 |
Frames, purchases |
1,252 |
1,191 |
$87K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
683 |
663 |
$46K |
| 92083 |
|
869 |
831 |
$33K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
862 |
839 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
181 |
179 |
$22K |
| 92015 |
Determination of refractive state |
1,459 |
1,413 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
192 |
190 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
245 |
242 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
125 |
106 |
$8K |
| 92133 |
|
272 |
263 |
$7K |
| 99215 |
Prolong outpt/office vis |
41 |
40 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
215 |
194 |
$5K |
| 99205 |
Prolong outpt/office vis |
29 |
29 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
26 |
26 |
$3K |
| 95930 |
|
12 |
12 |
$520.91 |