| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
407 |
383 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109 |
95 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
31 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
128 |
125 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$1K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
59 |
52 |
$1K |
| 92285 |
|
36 |
36 |
$902.98 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
41 |
40 |
$494.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$145.80 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
16 |
14 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
140 |
108 |
$0.00 |
| 92015 |
Determination of refractive state |
242 |
230 |
$0.00 |