| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
426 |
418 |
$52K |
| 92015 |
Determination of refractive state |
1,763 |
1,655 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
876 |
811 |
$34K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
655 |
626 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
246 |
231 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
277 |
258 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
478 |
436 |
$7K |
| 92060 |
|
251 |
247 |
$7K |
| 92250 |
|
263 |
244 |
$5K |
| V2020 |
Frames, purchases |
168 |
159 |
$5K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
120 |
108 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
132 |
118 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$3K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
28 |
28 |
$955.68 |
| 92134 |
|
42 |
38 |
$626.15 |
| 92083 |
|
17 |
16 |
$478.50 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
20 |
16 |
$421.20 |
| 92025 |
|
15 |
13 |
$93.20 |