| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
915 |
847 |
$67K |
| V2020 |
Frames, purchases |
1,692 |
1,578 |
$46K |
| 92015 |
Determination of refractive state |
1,496 |
1,381 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
532 |
464 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
635 |
614 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
875 |
822 |
$12K |
| 92285 |
|
356 |
331 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
39 |
$5K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
44 |
43 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
91 |
80 |
$1K |
| 92250 |
|
77 |
70 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
219 |
195 |
$316.89 |
| 92133 |
|
14 |
12 |
$311.27 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$217.44 |
| 83861 |
|
12 |
12 |
$0.00 |