| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
529 |
498 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
400 |
360 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
176 |
164 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
152 |
128 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
272 |
256 |
$7K |
| V2020 |
Frames, purchases |
271 |
255 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
279 |
262 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
70 |
56 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
81 |
68 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
19 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
42 |
42 |
$896.70 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$651.90 |
| 92002 |
|
15 |
13 |
$485.25 |
| 92015 |
Determination of refractive state |
52 |
40 |
$202.20 |