| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,121 |
986 |
$54K |
| 92250 |
|
1,105 |
1,072 |
$33K |
| 92015 |
Determination of refractive state |
779 |
754 |
$20K |
| V2112 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens |
241 |
231 |
$15K |
| V2020 |
Frames, purchases |
537 |
524 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
239 |
229 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
27 |
$3K |
| 92225 |
|
102 |
94 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
31 |
29 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
18 |
$1K |
| 92226 |
|
99 |
90 |
$893.54 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$675.44 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$116.58 |