| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
397 |
388 |
$30K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
655 |
635 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
565 |
521 |
$20K |
| 92250 |
|
229 |
229 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
80 |
79 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
351 |
351 |
$7K |
| 92015 |
Determination of refractive state |
120 |
119 |
$2K |
| V2020 |
Frames, purchases |
111 |
90 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
89 |
69 |
$536.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$248.80 |