| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
347 |
258 |
$22K |
| 92015 |
Determination of refractive state |
1,876 |
1,748 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
929 |
924 |
$20K |
| V2020 |
Frames, purchases |
1,592 |
1,578 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
396 |
396 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
244 |
244 |
$10K |
| 92250 |
|
275 |
195 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
253 |
248 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
519 |
519 |
$4K |
| 92310 |
|
39 |
37 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
31 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$0.00 |