| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,180 |
2,156 |
$206K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,512 |
2,498 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,529 |
1,520 |
$86K |
| 92060 |
|
1,271 |
1,263 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
332 |
329 |
$32K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
457 |
452 |
$25K |
| 92015 |
Determination of refractive state |
3,054 |
3,035 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
171 |
171 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
212 |
207 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
588 |
581 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
66 |
66 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
119 |
118 |
$3K |
| 99072 |
|
127 |
123 |
$511.80 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
74 |
73 |
$492.02 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$55.10 |