| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,496 |
1,489 |
$116K |
| 92082 |
|
1,687 |
1,685 |
$68K |
| 92250 |
|
1,468 |
1,468 |
$53K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
650 |
649 |
$50K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,547 |
1,546 |
$47K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,578 |
1,578 |
$44K |
| 92015 |
Determination of refractive state |
1,823 |
1,822 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
302 |
300 |
$29K |
| V2020 |
Frames, purchases |
1,651 |
1,647 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
161 |
161 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
31 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
32 |
32 |
$0.00 |