| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
946 |
895 |
$68K |
| 92060 |
|
1,312 |
1,114 |
$45K |
| 92015 |
Determination of refractive state |
2,359 |
2,279 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
205 |
203 |
$17K |
| V2020 |
Frames, purchases |
446 |
415 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
345 |
320 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
92 |
86 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
30 |
30 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
68 |
38 |
$1K |
| 92083 |
|
34 |
33 |
$1K |
| V2755 |
U-v lens, per lens |
163 |
147 |
$1K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
19 |
17 |
$769.98 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$0.00 |