| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
478 |
464 |
$27K |
| 92015 |
Determination of refractive state |
1,365 |
1,320 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
157 |
154 |
$3K |
| V2020 |
Frames, purchases |
94 |
93 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
26 |
26 |
$636.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$566.93 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
69 |
68 |
$474.00 |
| 3072F |
|
131 |
130 |
$0.00 |