| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,637 |
1,492 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,582 |
1,457 |
$57K |
| 92015 |
Determination of refractive state |
2,157 |
1,983 |
$8K |
| 92060 |
|
197 |
186 |
$7K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
49 |
47 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
70 |
$4K |
| 99243 |
|
35 |
29 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$1K |
| 92201 |
|
23 |
15 |
$495.27 |
| 92285 |
|
12 |
12 |
$166.68 |
| V2020 |
Frames, purchases |
12 |
12 |
$120.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12 |
12 |
$99.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$32.00 |