| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,993 |
12,960 |
$841K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
7,211 |
7,202 |
$802K |
| 92250 |
|
19,012 |
18,966 |
$646K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
20,844 |
18,864 |
$606K |
| 92341 |
|
5,389 |
5,380 |
$193K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,376 |
5,272 |
$188K |
| V2020 |
Frames, purchases |
4,889 |
4,878 |
$186K |
| 92015 |
Determination of refractive state |
13,543 |
13,503 |
$176K |
| 92083 |
|
2,639 |
2,628 |
$105K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,398 |
3,373 |
$102K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,480 |
1,474 |
$79K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
3,981 |
3,975 |
$74K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,429 |
2,374 |
$63K |
| 92133 |
|
2,576 |
2,423 |
$48K |
| 97814 |
|
159 |
48 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
100 |
$8K |
| 76514 |
|
1,125 |
1,077 |
$8K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
123 |
123 |
$7K |
| 92134 |
|
470 |
467 |
$6K |
| 97810 |
|
159 |
48 |
$5K |
| V2500 |
Contact lens, pmma, spherical, per lens |
52 |
26 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
118 |
118 |
$1K |