| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
879 |
807 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
322 |
284 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
446 |
419 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
136 |
127 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
480 |
457 |
$13K |
| 92015 |
Determination of refractive state |
1,235 |
1,139 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
168 |
152 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
65 |
56 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
32 |
29 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
55 |
44 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
24 |
$698.18 |
| 92134 |
|
16 |
12 |
$50.79 |